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1. Email Address to be entered into Raffle

Please submit this only once. Multiple submissions will be disqualified. Thank you for your help and cooperation.

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* 1. Please indicate your MD/PhD program/city. 2 people will be randomly selected and awarded a $50 Amazon.com gift certificate.

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* 2. Please enter your medical school email address (current and valid)* here. *It must be your institutional email address in order to be entered into the raffle. This will help us validate your current trainee status.

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* 3. Please Enter an alternate email address in case this is your last year in medical school.

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