Arkansas State University - Powering Minds

EPSCoR CENTER for PLANT-POWERED PRODUCTION (P3)

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First Name
Last Name
Mailing Address
City
State
Zip
Email Address
Daytime telephone
Campus
Type of Registration
Dates Attending
Special Dietary Needs For other diet needs, please list them here
Smoking/Non-Smoking There are a limited number of designated smoking rooms that are available on a first come/first serve basis. There are designated smoking areas available at the resort.
Roomate Preference (List Names)
Do you need special accommodations due to a handicap or disability? Yes No If so, please list accommodations needed.

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