subject_line
Full name
*
Company/College
*
Discipline/Role
*
If you want the Academic Discount
you must use your .edu email address!
Email address
*
Phone
*
Registration cost:
Registration Fee $3,000
What discounts do you qualify for?
Academic/Faculty: $500
Self-Growth Researcher: $1,000
What type of room do you want to pay for?
(Note that this cost is in addition to the registration fee.)
*
Standard Apartment (Single): $901.98 (6 nights)
Standard Apartment (Double): $817.62
None, I will arrange my own room
Are you interested in sharing a Double with someone?
*
Yes
No
An invoice with payment options will be emailed to you.
Current Total:
$
3000.00
Calculate
Questions/comments/reasons for attending:
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