Registration Form
Please fill in all sections of this form. You will be contacted within 3 working days to confirm you place.
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FIRST NAME *
SURNAME *
DATE OF BIRTH *
MMM/DD/YYYY
EMAIL ADDRESS *
CONTACT PHONE NUMBER *
Please include international dialling code
WILL YOU REQUIRE A VISA TO ENTER THE UNITED STATES? *
Please note that INENS cannot cover the cost of visas and visa application fees, and cannot apply for a visa on your behalf. However, we can provide a letter detailing that you will be attending the conference to support your application.
Required
JOB TITLE *
DEPARTMENT/DIVISION *
ORGANISATION *
Number of years' experience working on nuclear issues *
Which days will you be attending the conference? *
Please tick all relevant boxes
Required
Do you have any dietary requirements? *
Please list any allergies or any food/drinks requirements.
Do you have any disabilities or accessibility requirements? *
How did you hear about this conference? *
Are you an INENS Member? *
If you answered no to the question above, would you like to become an INENS member?
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