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LHF 2023 Bleeding Disorder Medical Summit Registry
Saturday, September 16, 2023, 7AM-5:30PM
Tulane University, Tidewater Building
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1.
First and Last Name:
(Required.)
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2.
Degree:
(Required.)
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3.
Profession:
(Required.)
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4.
Place of employment or if a student where attending:
(Required.)
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5.
Mailing Address (street, city, state, & zip code):
(Required.)
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6.
Phone Number:
(Required.)
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7.
Email Address:
(Required.)
8.
Pricing:
Early Discounted Rate
(Before August 16, 2023)
Professional - $95
Student - $25
Standard Rate
(After August 16, 2023)
Professional - $125
Student - $50
Use the links below to make payment. Discounted rate will available until 8/16/2023 and will automatically convert to the standard rate after that date.
Professional Rate
Student Rate