2010 Summer School Attendee Registration

Electrical Geodesics, Inc.


2010 Summer School
Attendee Registration

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Attendee Name: (*)
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Institution: (*)
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Department:
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Principal Investigator (*)
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Address: (*)
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City: (*)
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Telephone: (*)
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Please include country code, city code or area code
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E-mail: (*)
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Meal Preferences:


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Specify if Other chosen (above):
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Session for which you are registering: (*)


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(Intermediate and Advanced attendees are encouraged to bring their own Mac laptop)
Tuition Waivers may be used. Contact workshops@egi.com to see if you have any waivers on file.
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Credit Card information will be accepted by phone, fax or PayPal - details will be presented after submitting this form.
Payment Details:
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Tuition Waiver - PI name, or University Purchase Order - PO number
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