Please provide the following contact information:for the University Sponsor and for each student being sponsored. Submit one for each individual (one for the sponsor and one form each student). There may be up to five submissions. First fill out the form for the sponsor (i.e., Professor) and hit submit button. Then hit return to form button, and continue for each student. (not all areas are mandatory). Note that the registration fee for graduate/advanced undergraduates is $50.00 each. Sponsor fee is $500 (standard) or $450 (early Bird).

Name
Title
Organization (University)
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
Sponsor (if applicable)

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