HBS Strategy Research Conference

November 2-3, 2012

Sponsored by Harvard Business School | HBS Campus

Please provide the following information:
First name:
Last name:
Please also include your name as you would like it to appear on your name badge.
Professional Title:
Professional Affiliation (Company/Academic Institution):
Business Address (street, city, state, country, postal code):
Business Phone Number:
Business Email:
Assistant/Primary Contact name:
Assistant/Primary Contact Phone Number:
Assistant/Primary Contact Email:
Please confirm the events you plan to attend.	Reception and dinner on November 2nd All events on November 3rd
Do you have any dietary restrictions?
Do you have a disability and/or medical condition?
Additional Comments:

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