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Credit Card Payment
VISA and Master Card Only
Card Holder Name
(Required)
Enter the full name, as it appears on the card.
Credit Card Number
(Required)
Only digits allowed - e.g. 4444555566667777 and not 4444-5555-6666-7777
Credit Card Expiration Date
(Required)
Credit Card Expiration Date
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Faculty/Staff Registration $175
Post-Doc/Student Registration $100
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