2019 CRMDA Summer Statistical Institute - Student Early Bird Registration

First name

Last name

Address

City

State

- Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip code

Phone

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Email

Organization/Department

Do you plan on attending remotely using Zoom?

- Select -No Yes

Registration

Register for Week 1: May 20 - May 24 ($350)

Register for Week 2: May 28 - May 31 ($280)

Register for Week 3: June 3 - June 7 ($350)

Proceed