BECUR - Submit Your Registration

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Last Name: *

First name: *

University: *

Research Area: *

(i.e., immunology, physical chemistry, etc.)

Year: *

Email Address: *

Phone Number:

Address: *

City: *

State: *

Zip Code: *

PI/Advisor Name: *

PI/Advisor Email Address: *

Abstract Title: *

Abstract (maximum of 350 words): *

Your Abstract may be a maximum of 350 words

Agreement to Abide by Rules and Guidelines: *

By checking this box, I hereby understand the rules and regulations listed on the BECUR webpage and I agree to follow them.

I understand that the BECUR committee has the right to decline my abstract if it is viewed inappropriate or not within the parameters of the conference.

I agree to make a poster and participate in the poster session on Saturday, February 23, 2013.

UA Privacy Policy: *

I have read the Electronic Privacy Policy for the UA (http://security.arizona.edu/index.php?q=node/38) and understand its contents.

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