General Registration Form

If you have any questions about registration or the LIDS@80 celebration, please contact lids80@mit.edu.

First Name

Last Name

Organization/Company/Institution

For example: MIT, Microsoft, City of Boston, Harvard University, etc.

Department, division, or organizational unit:

For example: EECS, Mathematics, Mechanical Engineering, R&D, Resource Development, etc.

Role:

If your role is not included in the list above, please enter it here:

Preferred email address:

On your conference name tag, would you like your name and company/organization/institution displayed differently than indicated above?

YesNo

Name Tag Information

Please let us know how you would like your name and affiliation to be displayed on your name tag for the conference.

Preferred first name:

Preferred last name:

Preferred display of organization/company/institution:

Are you a LIDS alum?

Yes, I am a LIDS alum.No, I am not a LIDS alum.