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I/UCRC CERCS'13 Registration Form


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Registration form for the NSF Industry-University Cooperative Research Center (NSF I/UCRC) Workshop on Experimental Research in Computer Systems, April 15-17, 2013, Georgia Institute of Technology.

Alumni Day and IAB Meeting Venue:

College of Computing - Klaus Advanced Computing Building at Georgia Tech
266 Ferst Drive, Suite 1116, Atlanta, Georgia

Registration ends Monday, April 8, 2013!



First Name:
Last Name: 
Desired Name on Badge: (default is First Name)


Date of Arrival:

Position:

Organization:


Former Advisor at GT (for Alumni):


Address:
City:           State:   Zip:  

Email:
Phone:
Fax:    

Vegetarian Food:
    No
    Yes

I will attend: (please select all that apply)
   Alumi Day - Monday, Apr. 15
   IAB Meeting - Tuesday, Apr. 16
   IAB Meeting Dinner - Tuesday, Apr. 16 (IAB Members and Alumni Only)
   IAB Meeting - Wednesday, Apr. 17

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