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* 1. Please provide your name, home institution and best contact e-mail

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* 2. Registration Type
NOTE: See if you are RMB Branch member HERE

You will pay at the end of this survey.

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* 3. Student Status

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* 4. Do you intend to present at this meeting?

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* 5. Preferred presentation type: We will limit the number of talks due to time constraints. Therefore, the first 4 undergraduate, first 4 graduate and first 4 postdoctoral fellows that request talks will be granted.

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* 6. Title of Presentation

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* 7. Will you have any co-presenters? (Posters Only)

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* 8. Name of all co-presenters.  All co-presenters must pre-register and fill out the intend to present questions.

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* 9. List all other authors (not co-presenters, i.e. PI, collaborators, etc.)

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* 10. Who is the Principal Investigator (PI) of the work being presented?

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