RSVP and Contact Information Template

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1. What is your first name?
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2. What is your last name?
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3. What is your email address?
4. What is your phone number?
5. What is your street address, city and zip?
6. I have paid conference fee at www.panna.org/system/give/onlineDonationICJB.php. ($35 for professionals and $20 for students on or before September 5. $50 for Professionals and $35 for students after September 5th.)
7. I plan to pay conference fee. Payment can be made at conference itself or by visiting: www.panna.org/system/give/onlineDonationICJB.php. Please write "Conference Registration" in the "Special Comments" field.)
8. I require financial aid to cover registration fee. (Please pay whatever you are able at www.panna.org/system/give/onlineDonationICJB.php.)
9. Please use this space to inform us of any dietary restrictions you have.
10. Will you require transportation to/from the airport and/or housing in the Cambridge area?
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