HIRF Virtual Workshop Registration

REGISTRATION IS A TWO-STEP PROCESS

After completing this form, you will be required to complete a separate payment form.

Virtual Workshop Dates: August 21-25, 2023

If you see this don't fill out this input box.

Salutation

Mr.

Ms.

Dr.

First Name*

Last Name*

Affiliation/Company*

Job Title

City

State*

Country*

Email*

Phone*

Comments

Payment*

Credit Card: Requires a separate checkout process

Check/Money Order: Mail payment to Matt Jones, Wichita State University, 1845 Fairmount St, Wichita, KS 67260-0093. Pay to the order of NIAR/WSU.

After completing this form, you will be required to complete a separate payment form.