Registration

Registration Information:

There will be a registration fee of $250 for Faculty and Students.

Please complete this form. You will be redirected to a third party payment site to complete the payment process.

First Name*

Last Name*

Email*

Contact Phone Number*

University Affiliation*

Registration Type*

PhD Student Faculty

(PhD Students Only) Which year of the PhD program are you in?

Address 1*

Address 2

City*

State*

Zip*

Country*

Do you agree to have your name, school affiliation, and email address listed on the participants’ page? (This is to help participants coordinate on their travel and lodging arrangement.)*

Yes No

Do you plan to present at the poster session?*

Yes No

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