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International Human Performance Summit
Registration Form


Registration includes two days of interactive presentations and discussions along with breakfast, lunch, snacks, and refreshments.

FULL NAME


Last Name:
First Name:
Title: Mr. Ms. Dr.
Suffix:
Job Title:
Employer:

ADDRESS


Street Address 1:
Street Address 2:
City:
State:
Zip Code:
E-mail Address:
Phone Number:
Dietary Restrictions:

CITIZENSHIP INFORMATION


Are you a U.S. citizen?* Yes No
What is the country of your citizenship?
Required information. Please provide:
Do you need a letter of invitation to process a Visa request?
Yes No

PAYMENT INFORMATION


  • Early Bird (Ends May 3): $375
  • May 4-30: $450
  • June 1-July 17: $550
  • On-Site Registration (July 18): $650
  • Military Discount: Contact us for information
Payment Method:


CANCELLATION


No refunds will be made after July 4, 2019. Substitutions for the workshop will be accepted, preferably with advance notice. If SwRI cancels the workshop due to circumstances beyond our control, SwRI shall refund the registrant the previously paid registration fee.