Note: This is a registration form only. Money (registration fees, banquet ticket cost, and dorm room charges if any) will be collected later.

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* 1. What is your contact information?

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* 2. What is your position?

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* 3. Do you intend to give a talk or present a poster at the conference?

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* 4. Would you like to stay at the Howard University dorms during the conference? (See dorm room pricing.)

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* 5. How many nights accommodation will you need? (enter a number)

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* 6. If you would like to share a room (at the dorms or at a hotel), do you have any roommate requests?

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* 7. Name of roommate (if applicable; see previous question)?

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* 8. Would you like to attend the banquet on Thursday? (Estimated cost: $70)

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* 9. Need extra banquet tickets? Enter the number of accompanying persons, if any.

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