REGISTRATION

To register for the Fourth Annual Ethics and Technology Conference, please submit this form on-line (note: this is not a secure server, and your information will be sent by ordinary e-mail), and then bring your payment with you when you arrive at the conference.

If you have any questions, please contact Aleta Mustone.

Contact Information:

Name:
Affiliated Institution:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Phone:
Fax:
E-mail Address:
Name/e-mail of additional registrants:
Privacy Information: A list of participants will be distributed at the conference. Your information will not be sold or disseminated in any other way. The information above will be included unless you so indicate:
List my full information
List my name, institution, and email only.
List my name and institution only.
Do not list me.
Accommodations:

If you plan to stay in Boston College Housing, please go to the accommodation information and then describe how many rooms you would like for how many nights and the total cost.

Do you wish to stay in Boston College Housing? No Yes
Date Arriving
Date Departing
Number in Party
Fees:
Note: The $125 registration fee includes breakfast and 2 lunches.
  # [# of nights] price ea. sub-total
Registration:   @ $125
Single Rooms: @ $49/room/night
Double Rooms: @ $64/room/night
Total:      

 

Additional information:
 
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