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  IMV Symposium Registration

Please do not type in ALL CAPS
Tuesday, May 15th, 2018
Weisman Art Museum
  * indicates a required field
First Name *   
Last Name *   
   (As you would like it to appear on your nametag)

Title/Position *   
Affiliation *   

Faculty Advisor (if applicable)   

Phone Number *   
Email Address *   

Would you like to give a talk?   Yes
Talk Title   
Talk Author(s)   
    (As you would like it to appear in the printed Program)
Talk Abstract:
(include the full abstract)
  
  characters remaining (backspace to reset counter)
Preferred Operating System:   Macintosh   Windows

If your abstract is not selected for a talk, are you willing to present your research as a poster?   Yes   No

Would you like to present a poster?
 
  Yes
Poster Title   
Poster Author(s)   
    (As you would like it to appear in the printed Program)
Poster Abstract:
(include the full abstract)
  
  characters remaining (backspace to reset counter)

Do you plan to attend:
The social event at Campus Club following the symposium?*   Yes   No
The symposium breakfast? *   Yes   No
The symposium lunch? *   Yes   No
Any dietary restrictions?   


After you complete your registration, you will receive an email confirmation.
 
 

 

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