Eudaimonia Institute | Conference Registration

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Personal Information

Name*

Title

First

Last
Affiliated Institution*
Mailing Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Cell Phone*
Email*
T-Shirt Size
I will attend the following (check all that apply):*
- Dinner on Thursday, April 20 at 5:30 pm
- Keynote Address on Thursday, April 20 at 7:00 pm
- Paper presentations on Friday, April 21 from 8:30 am – 5:00 pm
- Lunch on Friday, April 21 at 12:00 pm
- Dinner on Friday, April 21 at 6:00 pm
- Paper presentations on Saturday, April 22 from 8:30 am – 12:00 pm
- Lunch on Saturday, April 22 at 12:00 pm
Dietary Restrictions

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Travel Details

Name*

Title

First

Last
Travel Arrangements*
- I will be driving to the conference
- I will be flying to the conference
Driving Details

Arrival Date Arrival Time Departure Date Departure Time
Flight Arrival Details

Arrival Date Arrival Time (pm or am?) Airport Airline Flight Number
Flight Departure Details

Departure Date Departure Time (pm or am?) Airport Airline Flight Number

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Document Uploads

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Last
Presentation Paper and Abstract Upload
Accepted file types: pdf, doc, docx.
W-9 Upload (for US citizens)
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W-8BEN & Foreign National Info. Form Upload (for non- US citizens)
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A/V Permission Form Upload
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Short Bio Upload
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Headshot Photo Upload
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Presentation PPT Upload
Accepted file types: pptx.

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Eudaimonia Institute

3111 Worrell Professional Center
Winston Salem, NC 27106

(336) 758-6465
eudaimonia@wfu.edu