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BASIC 2019 Conference Information Form

Please note that all the fields in this form are required unless otherwise indicated.

There will be no registration fee for this conference.

Please read.  At the bottom of this page, you will be asked to confirm that all the information entered into this form is correct.  If you do not confirm the information, you have not submitted it.  Once you have confirmed the information, you will receive an email acknowledgement.
First Name
Last or Family Name
Email Address
Affiliation
Professional Rank
  If you are a Post-doc or a Student, do you want to apply for financial aid to attend?
Yes No
Arrival Date January     2019
Departure Date January     2019
Number of persons accompanying you
Suggested talk title

If you plan to talk, please enter your abstract in the area below.   Otherwise, please enter "NA".
 
Text of Abstract
Re-enter your email address here:

If we are able to accommodate you and your traveling companions (if any), you will receive an email notification before 1 December.
If you are interested, please take a look also at the University of Miami Privacy Policy regarding the personal information collected on this page.