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Registration 2013 : 24th Annual IE MSA Conference registration FIRST NAME LAST NAME: ADDRESS CITY/STATE/ZIP SSN OR DL# DATE OF BIRTH: PHONE EMAIL REGISTRANTS MUST PROVIDE CERTIFICATION INFORMATION
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In the last name field, enter your surname or family name. This is the name shared by members of your immediate family.
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First name last name refers to the combination of an individual's first name and last name.
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Any individual or organization that requires the personal identification of individuals may need to collect and file first name last name.
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