Thank you for participating in the DIA Summit 2021. Please take 3 minutes to answer this registration tool. All personal data provided will be used by the TRUST FOR THE AMERICAS exclusively for registration purposes in the TRUST’S INFORMATION SYSTEM (TIS). All data will be stored with total confidentiality.

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* 1. Name

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* 2. Last name

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* 3. Email

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* 4. Confirm email

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* 5. In which country do you live?

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* 6. In which State/Parish/Region/District do you live?

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* 7. Telephone (optional)

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* 8. Which DIA Lab invited you to the DIA Summit?

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* 9. What is your date of birth?

Date

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* 10. What is your gender?

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* 11. What is your educational level?

T