Your name

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* 1. Your name

what is your affiliated institution?

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* 2. what is your affiliated institution?

What are your work email addresses?

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* 3. What are your work email addresses?

What is your mailing address?

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* 4. What is your mailing address?

what is your planned arrival/departure date? (please let us know, if you change your travel plan)

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* 5. what is your planned arrival/departure date? (please let us know, if you change your travel plan)

arrival date
departure date
please book your hotel rooms available at the CIRD conference center, if you plan to stay at the conference center.

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* 6. please book your hotel rooms available at the CIRD conference center, if you plan to stay at the conference center.

book your airport pickup service from the conference center

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* 7. book your airport pickup service from the conference center

Do you have any dietary restrictions?

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* 9. Do you have any dietary restrictions?

Do you have any other comments, questions, or concerns?

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* 10. Do you have any other comments, questions, or concerns?

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