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ONLINE REGISTRATION FORM FOR PGDIS 2015: CHICAGO, ILLINOISDear colleagues,

Dear Colleagues,

Join us at PGDIS 2015 to be held at the Museum of Contemporary Art (MCA), in Chicago, USA, 11-13 May, 2015. To register please provide the information requested below, and click "Submit" at the bottom of the page.

First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zipcode:
Country:
e-Mail:
Re type e-Mail:
Phone:
Questions:
Comments:
Are You:
Name on Credit Card:
Credit Card Type:
Credit Card Number:
Expiration Date:
Card Security Number:
Pre-Conference Course:
PGDIS 2015 Conference:
Accompanying Person Fee:
Pre-Conference Course and Conference:
 
 
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