***UPDATED 8/9***The deadline for submission is Monday, August 16, by 9am.

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* 1. First Name:

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* 2. Last Name:

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* 3. Full Name (First, Middle, & Last):

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* 4. Credentials (MD, PhD, etc):

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* 5. Main Author:

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* 6. Co-author(s):

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* 7. Institution or Company Name:

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* 8. Are you a practicing pathologist, pathology resident, or medical student?

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* 9. Abstract/Poster Title:

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* 10. Has this poster/abstract been presented at a national meeting?

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* 11. Email Address:

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* 12. Mailing Address (city, state, zip):

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* 13. Please upload a digital copy of your poster. Please format horizontally. If the poster has not been created and/or finalized yet please answer question below. 

PDF, PNG, JPG, JPEG file types only.
Choose File

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* 14. If you did not attach a digital copy of your poster above please select correct option below. You are required to email the digital copy to Alyssa.Muckelroy@texmed.org by August 16, 2021.

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