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I/UCRC CERCS'09 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, October 22-23, 2009, Georgia Institute of Technology.

Workshop Venue:

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

Workshop registration ends October 16, 2009!

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


Date of Arrival:

Position:

Organization:


Address1:
Address2:
City:           State:   Zip:  

Email:
Phone:
Fax:    

Vegetarian Food:
    No
    Yes

I will attend: (please select all that apply)
   GreenIT Workshop - October 22
   Thursday Dinner - October 22
   IAB Meeting - October 23

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