Meeting/Workshop Registration Form

CUSEC Regional Resource Allocation Workshop (RAW)
Initial Planning Meeting

January 27-28, 2026 | Memphis, Tennessee

Please use the form below to register for the event. All fields marked with an * are required. For more information or if you have issues with the form, please contact cusec@cusec.org or call (901) 544-3570.

"*" indicates required fields

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Name*

First Last

Organization

Title

Address*

City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State

Email*

Phone*

Accessibility or Dietary Restrictions

List any accessibility or dietary requirements/accommodations you may need.

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