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Registration

Saturday Night Public Event

Below is a registration form for the Saturday evening public meeting. We ask that everyone register for this event, in order help us understand the composition of the audience. Those that pre-register will be given priority seating. This event is FREE to the public, but pre-registration is highly recommended.

Privacy Statement

All information collected on the pre-registration form will be used only by the Emerging Evangelical Intelligentsia Project and the Institute on Culture, Religion and World Affairs of Boston University for educational and research purposes. No private information, in any form, will be released, viewed or sold to outside or third parties. You may be contacted by the EEIP or CURA for follow-up research purposes.

Last Name
First Name, MI
Address
City, State, Zip
Email address
Phone Number	( )
Organization/School
Position
Are you participating with a group?	yes no
From what organization / school?
How many people are in the group?
Would you be willing to be contacted by the researchers of the EEIP project for follow-up research purposes?	yes no