Thank you for taking the time to let us know whether you’ll be able to join us for our event.

Michigan State Medical Society
Board Room, 120 W. Saginaw Street, East Lansing, MI
November 30, 2018, from Noon-4:00 p.m.

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* 1. Will you be attending this event?

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* 2. How many guests will be joining you?

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* 3. What is your first name?

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* 4. What is your last name?

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* 5. What is your email address?

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* 6. What is your phone number?

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