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Registration Form

Please register me for the conference      
Please send me Conference Materials

Contact Information:

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address 2
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail

Conference Dates:
Please plan to arrive the evening of Sunday April 27 and depart in the evening Tuesday April 29.

Lodging: 
I will require lodging for the following dates (includes an option for making your own arrangements).

                            

If you are making your own lodging arrangements, please contact Harvard Square Hotel and refer to the following code:  IGC.

Alternatively, there are luxury hotels available. Ask for the Harvard rate.

Travel Arrangements:
Please let us know about your travel arrangements:
      
        79 JFK St., Cambridge, MA:  Driving Directions | MapQuest 

If You Plan to Fly, please let us know the domestic airport closest to you:    
      
 

Conference Scholarships: 

I require a travel scholarship. 
Please Note:  Scholarhips are limited and all receipants will stay at the Harvard Square Hotel.