Event Registration

This form is available for CNS-ASU Final Gala Event attendees to register. Please note that attendance at this workshop is by invitation only. If you have been solicited to attend or participate in the workshop, please fill out the requested information below. Questions with a red asterisk are required. Thank you.

First Name *

Last Name *

Email *

Address *

City, State, Postal code *

Country *

Institution *

Title *

Work Phone

Mobile Phone

What days do you require hotel reservations? *

Please choose up to (2) for domestic U.S. travelers and up to (3) for international travelers

Do you require travel support? *

Yes, domestic air travel support of up to $500

Yes, international air travel support of up to $1500

Yes, lodging support (at Tempe Mission Palms)

please choose all that apply

Comment

please specify any special travel arrangements or dates needed.

Do you have any dietary restrictions or other accommodations requests?

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Event Registration