Please Answer the Following

Full Name

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* 1. Full Name

Email Address:

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* 2. Email Address:

Phone Number (including country/area code)

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* 3. Phone Number (including country/area code)

Mailing Address:

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* 4. Mailing Address:

If you are not the P.I., what is your P.I.'s name?

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* 7. If you are not the P.I., what is your P.I.'s name?

What is your level of experience with Situs and/or molecular fitting programs?

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* 8. What is your level of experience with Situs and/or molecular fitting programs?

Please enter a short statement on why you are attending this SEMC Workshop.

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* 9. Please enter a short statement on why you are attending this SEMC Workshop.

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