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* 1. What is your name?

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* 2. Are you a student or pharmacist?

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* 3. If student, what school and year are you?

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* 4. Please provide a contact email in case we need to send you more information about the event.

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* 5. How many tickets do you need?

Please make cheques payable to CPS. You can give payment to Norm Fenn (CU) or Greg Knutsen (Regis). Thanks for signing up! We hope you have a great time!

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