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* 1. Please enter your FULL name (First Name Last Name)

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* 2. Please enter your organization (company, university, etc.)

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* 3. Please indicate your participation category (multiple choices allowed)

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* 4. Please enter your email address, using your organization's domain (no personal email)

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* 5. Which meals will you require?

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* 6. Do you have any dietary restrictions? (We will do our best to accommodate)

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