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Registration Information
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denotes field is required.
Prefix
*
Mr.
Mrs.
Ms.
Mx.
Dr.
Prof.
First Name (Must Match Government Issued ID)
*
Last Name (Must Match Government Issued ID)
*
Preferred Name
Email Address
*
Confirm Email
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Title
*
Company/Organization
*
Participant List
Can we share your name and email with workshop participants?
*
Yes
No
Audio Visual Release
Can we share your name and email with workshop participants?
*
Yes
No
Please select your attendee type
Attendee - Virtual Only
Speaker/Moderator
Workshop Chair
Email Registration Assistance