Information requested below will be
used to generate conference name tags and the conference participants
list, including mailing and e-mail addresses and telephone and fax
numbers. All information provided below, other than name and Fulbright
country and year, is optional and will be printed on the participants
list when provided.
PLEASE COMPLETE THE INFORMATION BELOW EXACTLY
AS YOU WOULD LIKE IT ON YOUR NAME TAG AND IN THE PARTICIPANTS LIST.
When you have filled in all the desired fields, click "Next Step."
Title:
*
(if other, please include title with full name below.)
Full Name:
*
Current Position:
Current Organization/Affiliation:
Street Address 1:
Street Address 2:
City:
State/Province:
ZIP/Postal Code:
Country:
Phone Numbers - H: W:
Fax Numbers - H: W:
E-mail Address: *
Display e-mail address on participant's list? *
Yes
No
Fulbright Country(ies) & Year(s):
*
(If you haven't had a Fulbright grant, please type n/a in the box.)
Spouse/Guest
Information
Please enter full name of spouse/guest:
Conference
Cancellation Policy Fulbright Association Conference (Nov. 1-4)--Those who cancel on or before
Oct. 1 will be eligible for a
full refund. Those who cancel on or before Oct. 18 will be eligible for
a refund minus a US$75 administrative fee. No refunds will be issued for
cancellations received after Oct. 18. All cancellation requests must
be submitted in writing to the Fulbright Association. E-mail is
preferred.
