Conference

Title (Mr., Ms., Professor, etc):  
First Name  
Surname  
Institutional Affiliation (if any)  
Mailing Address  
City  
State:   Postal Code:
Country  
E-mail Address  
Do you wish your email address to be included in the mailing list?
    Yes   No
 
Do you plan to attend:   Both days
    Only Wednesday, April 7
    Only Thursday, April 8
 
Lodging: Are you interested in receiving information on local accommodations?
    Yes   No
 
Lunches: Though there will be time and opportunity to purchase food nearby on the UCLA campus, it is possible that box lunches may be available for puchase. So that we may get an idea of possible interest in on-site prepared box lunches, please tell us (without obligation)

Would you be interested in purchasing prepared lunches?
    Yes   No
 
 
 
 
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