Registration Form

First Name

Last Name

email

Confirm Email

Country of Citizenship

Affiliation

Department

Position

Contact Phone Number

# Country code - Area Code - Local Code - Contact Phone Number

Are you currently a member of the ISIE?

No

Yes

If so, please provide your ISIE ID number

# Please enter your ISIE membership ID. If you do not know your ID, please email is4ie@yale.edu.

Did you submit an abstract ?

No

Yes

Are you a student?

Can you participate in discussions about IE in spanish?

Can you participate in discussions about IE in english?

Can you participate in discussions about IE in portuguese?

Do you want to opt out of the student activities?

Opt Out

The ISIE will hold special additional discussions on May 25 for students. Check opt out if you DO NOT want to participate.

Do you want to opt out of the poster competition?

Opt Out

The ISIE will hold a student poster competition on May 24 2016 during the additional student activities. Check opt out if you DO NOT want to participate.

Please indicate any special dietary preference

Vegan

Vegetarian

Lunch and snacks are included

If you have any food-related allergies, please indicate it here