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Please fill out the following information for the attendee:

Name and Last Name

For Northwestern discount, please use a Northwestern email

Alternative Email

Country

University & Department (if applicable)

Status

Do you expect to attend

Have you attended the workshop before?

Select a Workshop:

Ticket Pricing:

General, Non-Northwestern
Main Workshop Only - $900.00
Advanced Workshop Only - $650.00
Both Workshops - $1,300.00

Student or Post-Doc, Non-Northwestern
Main Workshop Only - $600.00
Advanced Workshop Only - $450.00
Both Workshops - $800.00

Northwestern Affiliate
Main Workshop Only - $500.00
Advanced Workshop Only - $300.00
Both Workshops - $650.00

Enter Ticket Price Below:

Total Amount Due:

Card Number

Expiration Date

Security Code (CVV)

First Name

Last Name

Address 1

Address 2

City

State

Zip/Postal Code

Country

Email Address

Phone #

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