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EXHIBIT REGISTRATION FORM
40th Annual Dr. John C. Weed Resident Research Seminar
6/7/2024
Baptist McFarland Auditorium
Company Name
Contact Name
Address
Email
Phone Number
Representatives Participating in Event:
NAME
EMAIL
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: Katie Guillot
1401A Jefferson Highway New Orleans, LA 70121
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