New Media Registration

Hurry, we can accommodate the first 200 registrants at the workshop!

Fill out the form below in order to register for the New Media workshop. For more information on the workshop, check out http://agnewmedia.ucdavis.edu

Or, if you can't make this workshop, fill out this other survey to stay informed about future ones!

There will be no on-site registration.
Registration ends on Thursday, November 11, 2010.

✻ = Required

Full name ✻

Email address ✻

Company name

Location

Conference registration fee ✻

$50.00 required charge

Please list your first four preferences of breakout sessions (See the full program at http://agnewmedia.ucdavis.edu). You will be assigned to an affternoon session based on this information.

First choice

Second choice

Third choice

Fourth choice

Do you have a business account for Facebook, Twitter, a website, or other type of new media? ✻

Yes No

A no-host breakfast will be available at the MU for early arrivals.

A box lunch and refreshments for breaks will be provided. Please indicate your lunch preference.

Lunch preference ✻

Vegetarian sandwich Sandwich with deli meat

I will attend the reception ✻

Yes No

Comments

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