Name* (as you would like it to appear on your badge):
EMail*:
Organization*:
Address 1*:
Address 2*:
Address 3:
Office phone:
Mobile phone:
* denotes required fields
All contact information will be used exclusively for the
purposes of this workshop and will not be passed on.
Hotel Reservations*:
I will be staying at the conference hotel. Please check that I am on the
hotel's list of participants authorized to receive the conference rate: (option
only available on or before March 30, 2008; make reservations and find other hotel information here)
Yes
No