Information about you

SINGLE AUTHORS: Please fill out the entire survey.
MULTIPLE AUTHORS for ONE PROPOSAL: Please fill out the entire survey for one author. Then fill out a separate survey monkey entry for *each* author, but only questions 1-8.

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* 1. First and last name:

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* 2. Your preferred title (Professor, Doctor, Mr. Mrs. Ms., etc):

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* 3. Your institution and country:

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* 4. Your full mailing address (street, town or city, zip code, country, state if in the US, and any other mailing information):

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* 5. At what email address would you like to be contacted?

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* 6. Your phone number:

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* 7. First-time CCCC attendee?

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