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Enter your First Name *

 
{{answer_CYVDFqAJPhYO}}, nice to meet you.
What's your last name? *

 
{{answer_CYVDFqAJPhYO}}, which Hospital do you work for? *

 
{{answer_CYVDFqAJPhYO}}, Do you have any dietary restrictions? *

     
 
Please list your dietary restrictions. We will contact the venue to make them aware of your needs. If the venue is unable to accommodate you, we will let you know.

 
Select the membership you paid for *


 
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{{answer_CYVDFqAJPhYO}} , You will receive a reminder email the week of the meeting. We look forward to seeing you! **Your registration is not complete until you click the "Submit Registration Button" below. Thank you for registering!
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