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* 1. Name

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* 2. Email Address

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* 3. What is your affiliation?

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* 4. How will you be attending the conference?

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* 5. Which special events do you plan to attend?

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* 6. Are you an IEEE ComSoc Member?

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* 7. What is your IEEE ComSoc Member Number? 

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* 8. Would you like to join the WICE mailing list to receive other events notifications?

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