UCDHSC Neuroscience: Events - Retreat Registration

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retreat registration

Please note: if only registering to attend the Retreat, just fill out the lines through the telephone number (white lines). If submitting a poster or a talk, then complete the rest (gray lines).


name
email
home dept
Position
telephone
do you need lodging?	yes no
preferred roommate (if any)
I will not be attending the retreat
type of presentation
abstract title
abstract submission MUST be a Microsoft Word®(.doc), Adobe Acrobat®(.pdf), or Rich Text Format (.rtf) document (no other formats are acceptable).

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