CIC Conference Registration

Institution University of Illinois Indiana University University of Michigan Michigan State University University of Minnesota Northwestern University The Ohio State University Penn State University Purdue University University of Wisconsin -select an institution -

Attendee Name:

E-mail Address:

Phone number:

Please indicate if you know how many will be attending from your institution: unknown 0 1 2 3 -select -

How many rooms do you plan to reserve at the Sheraton Hotel? unknown 0 1 2 3 -select -

If you have any special dietary requirements, please indicate in comments below.

Comments: