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First Name Last Name Affilitation Title/Position Address City State Zip Code Phone Fax E-mail Address Meeting Registration Choose Below (All include Friday reception/dinner-dance and Saturday lunch) . Student Late Registration ($50) - after October 26th . Non-Student Late Registration ($100) - after October 26th Reception Registration Choose Below for non-attendees/spouses . 1 ticket 2 tickets 3 tickets 4 tickets ***Reception/dinner-dance fee is $35 per ticket
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Last Modified: October 26, 2009