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The University of Texas Health Science Center At Houston

2025 UT SYSTEM AI SYMPOSIUM

Please provide the information requested below. Fields marked with a * are required.

REGISTRANT INFORMATION
*	Attendee's Name:
*	Email:
*	Phone:	( ) -
*	Attendee Type:	cde-AtteType-8
*	Dietary Preference:	cde-DietPref-6
*	Do you need ADA accommodations?:	cde-Doyou-7
*	Do you plan to attend the Event Reception TH 5/15 5p-7p?:	cde-Doyou-8
If you would like to be part of the program, please visit https://www.utsystem.edu/ai-symposium.
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*Payment Amount

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ACI Payments, Inc. is licensed as a money transmitter by the New York State Department of Financial Services, the Georgia Department of Banking and Finance, and by all other states and territories, where required. NMLS #936777. 6060 Coventry Dr, Elkhorn NE 68022. 1-800-487-4567

REGISTRANT INFORMATION