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Get Involved in MMM24
Thank you for showing interest. Please fill out the form to get involved.
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* Indicates required question
Title
*
Dr
Mr.
Ms.
Prof.
Name
*
Your answer
Email ID
*
Your answer
Phone number
*
Your answer
Workplace/Institute address
*
Your answer
City
*
Your answer
State
*
Your answer
Which type of blood pressure device will you use for MMM24?
*
Automated BP device
Conventional sphygmomanometer
How will you contribute to the campaign?
*
By taking at least 10 measurements daily
By organizing camps
Both
Have you been previously involved with MMM campaign
*
Yes
No
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