Women in IR Leadership

Conference and Hotel Registration

This registration form is for conference registration and hotel accommodations at $500.

 

If you have problems registering for this program please e-mail summer@colby.edu
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* asterisks mark required information

Applicant Profile
*First Name:
*Last Name:
*Address:
*City:
*State/Province:
If you are an international applicant (except Canada), leave the "State" field blank.
*Zip Code:
*Country:
*Daytime Telephone:
Evening/Cellular Telephone:
Fax:
*E-mail:
Enter the name of the attendee
Institution
Tuition
 

Hotel accommodations will be at the Best Western Plus Waterville

Additional Nights ($100/night)

Total :
 
Additional Comments
Please enter any additional comments that you think we should know about your registration including any food preferences or allergies we should be aware of (255 characters max).
Billing Information
*Full amount due: