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* 1. First Name

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* 2. Last Name

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* 3. E-mail Address

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* 4. Institution / Organization / Company

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* 5. Type of Institution / Organization / Company (Choose all that apply)

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* 6. Professional Role / Title and Department if applicable

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* 7. Will you be attending the Annual Meeting of the Canadian Academy of Health Sciences?

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* 8. Will you be attending the light lunch (12:15 pm to 1 pm) following Dr. Lap-Chee Tsui's Lecture at U Ottawa on Sept. 17?

T