CME Conference Management

EXHIBIT REGISTRATION FORM
39th Annual Dr. John C. Weed Resident Research Seminar
6/9/2023
Ochsner Baptist, Patrick F Taylor Auditorium, 2700 Napoleon Ave, New Orleans, LA

Company Name

Contact Name

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Representatives Participating in Event:

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EXHIBIT Fee:

Breakfast (Food & Beverage Expense)

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: Katie Guillot 1401A Jefferson Highway New Orleans, LA 70121
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