Registration Form
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First Name* | |
Last Name* | |
Name as you would like it to appear on your name badge | |
Position | |
Institution (no punctuation)* | |
Department | |
Address* | |
City* | |
State* | |
Zip Code* | |
Phone* | |
Email* | |
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How did you hear about the workshop? |
Email Colleagues Internet Search Conference I attended Other
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Workshop Options* |
$1199 (Individual Rate) $1075 (per person Team Rate, 2 or more, same institution) $1300 (Attend Online)
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Extended Consultation* |
$350 per person, Thursday, June 8 $700 per person, Thursday-Friday, June 8-9 Not At This Time
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Payment Options* |
Check Credit Card Invoice My School
Please include contact name, email,
invoice address, and PO # if needed
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