Carfang Conference Registration

Contact Information
Full Name*

First NameLast Name
E-mail*
Home Phone

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Work Phone

Area CodePhone Number
Registration
Registration Group*

First-time Attendee, $599Previous Attendee, $599Student, $385Duquesne Alumni, $599Thursday Only, $299Friday Only, $299
After submitting your information, complete your payment by following the link provided in the response email titled:
Pay Now by Credit Card or eCheck
Occupation
Department, Employer or Affiliate Name
as you would like it to appear on your nametag
How did you hear about this event?
Attendance
I will attend (choose all that apply):*

Wednesday ReceptionThursday ConferenceFriday Conference
Please provide*

All MealsWednesday ReceptionThursday BreakfastThursday LunchFriday BreakfastFriday LunchFriday ReceptionNo Meals
Do you have any dietary restrictions?
*

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Contact Information