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GUIRR February 2017 Meeting

GUIRR June 2016 Meeting

Examining the Mistrust of Science
February 28-March 1, 2017

National Academy of Sciences Building
2101 Constitution Ave, NW
Washington, DC 20418

1. Please fill out the form below to register for this event.

Prefix *This question is required.

First Name *This question is required.

Last Name *This question is required.

Badge Name *This question is required. (First Name or Nickname Only)

2. Business and Contact Information

Title *This question is required.

Affiliation *This question is required.

Address Line 1 *This question is required.

Address Line 2

City *This question is required.

State *This question is required.

Zipcode *This question is required.

Email *This question is required.

Phone *This question is required.

Fax

3. Will you be attending the Keynote Dinner on February 28, 2017?

Would you prefer a vegetarian meal?

4. Will you be attending the General Meeting on March 1, 2017?

5. Will you be joining us for lunch during the General Meeting?

Would you prefer a vegetarian meal?

6. Please list any food allergies and supply us with an emergency contact (name and number only):

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