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Request |
We are committed to making the conference open to people of all economic means. If you would like to request a scholarship for the conference, please complete the form below.
Name:
Mailing Address:
E-mail address:
Phone: (daytime preferred)
please
include area code.
Fax: (if available)
Please indicate if you are looking for a partial or full waiver of the registration fee.
If partial, please indicate how much you are able to pay:
When you have completed everything above:
If you need to start over again,
Please note, your information has to be converted into an e-mail message. This may take several seconds (5 to 30 seconds) so please be patient. Depending on how your browser is configured, you may also be warned that you information is not "secure." Please wait for the next page which will tell you that your message has been sent. Thanks!