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2017 Conference Registration - Montana State … · Web viewName: Email: Department or company:...

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2017 Conference Registration Name: Email: Department or company: Position (faculty, graduate student, industry professional, etc.): Dietary restrictions (vegan, gluten-free, etc.): If you were an animal which would you be? (highlight your top three) Fox, Horse, Chameleon, Tardigrade, Dolphin, Bald Eagle, Penguin, Bear, White-Tailed Deer, Elephant *You have the option to pay a reduced fee of $12 (a $0.65 processing fee will be added so the total charge will be $12.65) online by clicking here , or you can pay $15 at the door. We do not want money to prevent anyone from attending the conference so please contact us if you require assistance. How will you pay? (highlight one of the following) I will pay online HERE I will pay $15 at the door I will contact WISE for help with the payment

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Page 1: 2017 Conference Registration - Montana State … · Web viewName: Email: Department or company: Position (faculty, graduate student, industry professional, etc.): Dietary restrictions

2017 Conference Registration

Name:

Email:

Department or company:

Position (faculty, graduate student, industry professional, etc.):

Dietary restrictions (vegan, gluten-free, etc.):

If you were an animal which would you be? (highlight your top three)

Fox, Horse, Chameleon, Tardigrade, Dolphin, Bald Eagle, Penguin, Bear, White-Tailed Deer, Elephant

*You have the option to pay a reduced fee of $12 (a $0.65 processing fee will be added so the total charge will be $12.65) online by clicking here, or you can pay $15 at the door. We do not want money to prevent anyone from attending the conference so please contact us if you require assistance.

How will you pay? (highlight one of the following)

I will pay online HERE I will pay $15 at the door I will contact WISE for help with the payment

https://www.eventbee.com/v/msuwise/event?eid=157053004#/tickets

https://www.eventbee.com/v/msuwise/event?eid=157053004#/tickets

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