2022 CCC Young Scientist Symposium Registration

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Please fill out this form to register for the 2022 CCC Young Scientist Symposium on January 14th, 2022.

More info here: https://catalysisclubchicago.com/2022-young-scientist-symposium-registration/.

Email *

Name *

Institution (company, university, etc)

If you are in the CCC geographical area (IN, IL, WI, MN), have you paid your 2021/2022 membership dues? (Membership is required for attendance for those in the CCC area. Membership is optional for those outside the CCC area. Membership dues can be paid here: https://catalysisclubchicago.com/join-renew-membership/) *

I am in the CCC geographical area and I have paid my membership dues.

I am outside the CCC geographical area, but paid membership dues to join the CCC.

I am outside the CCC geographical area and I will be joining as a guest.

Send me a copy of my responses.

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