The Duke University Energy Conference

Exploring the Technology and Innovation Driving Our Energy Future
Energy Mix Reception Nov. 1st from 5-7pm at Gross Hall
Energy Conference Nov. 2nd from 8am-5pm at The Fuqua School of Business - Geneen Auditorium

The conference is free to students and Duke University employees, and $25 for professionals. Students please use school email address and bring student ID to the conference registration.

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* indicates a mandatory field.

First Name*
Last Name*
Preferred Name to be Printed on Nametag*
Title*
City*
State*	--Not ApplicableAlabamaAlaskaAlbertaAmerican SamoaArizonaArkansasArmed ForcesBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandPuerto RicoQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingYukon   -- Not Applicable Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon
E-Mail*
Company/Institution Name/School*
How did you hear about the conference?*	--Duke Campus listservFlyerOther campus listservWord of MouthOther (Please elaborate) -- Duke Campus listserv Flyer Other campus listserv Word of Mouth Other (Please elaborate)
Registration One ticket includes admittance to the Energy Mix reception and the conference. Lunch, parking and sales tax are included.

	Non Student Event Registrations -- $25.00 per person
	Student Event Registrations -- No Charge
	Duke Faculty or Staff -- No Charge
	Conference Speaker or Sponsor -- No Charge
Please check which boxes apply:
	Attend the Energy Mix reception on Nov. 1st from 5-7pm at Gross Hall
	Need parking at the conference (for those without a Duke parking pass only)
	Eating lunch at the conference
	Eating breakfast at the conference
	Total Cost
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