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I/UCRC CERCS'11 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 12-14, 2011, 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 Wednesday, October 5, 2011!



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)
   Open Cirrus - Wednesday, Oct. 12
   Open Cirrus Dinner - Wednesday, Oct. 12
   Open Cirrus - Thursday, Oct. 13
   IAB Dinner - Thursday, Oct 13
   IAB Meeting - Friday, Oct 14

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