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Annual Research Conference & RIMI Symposium

Non-Presenter Registration Form

Thank you for registering to attend the SSU 4th Annual Research Conference and RIMI Symposium. We want to make the process as easy as possible. This form is only to be used by person not presenting at this conference. Registration for non-presenters closes at midnight, March 21, 2014. Registration guarantees seating in our facilities, so please register before this date. If you choose to register the day of the conference we will aim to accommodate everyone. Please fill out the form below.

If you have any questions about registration, please call 912-358-4292.

Registration Information:

First Name *:
Last Name *:
Occupation/Affiliation:
Organization:
Email Address *:
Confirm Email*:
Preferred Contact Number :
   
Address :
City :
State :
Zip :

Additional Information


 
   
Are you able to serve as a judge:
If yes, please choose from one or more of the areas below:






 

Last Updated On by Litus Marshall