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EXHIBIT REGISTRATION FORM
38th Annual Dr John C Weed OB/GYN Resident Research Seminar
June 10, 2022
Phyllis M and Patrick F Taylor Auditorium, New Orleans, LA
Company Name
Contact Name
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Representatives Participating in Event:
NAME
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LOCATION:
EXHIBIT Fee:
Table Exhibit - $2,500
5 spots available
Exhibit Table outside of the Auditorium
Lunch (Food & Beverage Expense)
NO ELECTRONIC or ACH PAYMENT CAN BE ACCEPTED FOR THIS EVENT
Check
Make checks payable to Ochsner Clinic Foundation - Tax ID #72-0502505
Mail to: Ochsner Clinic Foundation Continuing Medical Education
Attention: Kristin Tschirn
1401A Jefferson Highway New Orleans, LA 70121
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