WORKSHOP REGISTRATION FORM: NAME
Please type in your name in the box below. Also, our online form handling software requires punchcard-style input as well. The first row of checkboxes below represents the first letter of your name. Starting from the left, click each checkbox until you get to the correct letter. Continue this process for each letter in your name. When finished, click on NEXT QUESTION, below.

Name:

ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ
ABC DEFGHIJKLMNOPQRSTUVWXYZ

NEXT QUESTION