MSHP Virtual Pharmacy Resident Conference - Participant Registration Form

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May 28-29, 2020
For more information, please contact Josh Fleming, PharmD @ JFleming2@umc.edu

Email *

This registration form is for people interested in watching and evaluating our pharmacy residents' presentations of their major research projects. Resident presenters will register via a different form.

There is no registration fee to attend this event!

The information you provide on this form will be used to contact you regarding important conference information, updates, and the presentation/topic schedule.

First name: *

Last name: *

Institution *

Preferred mailing address *

Which of the following best describe you? (select all that apply) *

Pharmacist

Non-pharmacist

Resident preceptor

Residency program director

Required

Are you currently a member of MSHP?

Yes

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Comments and/or questions?

Submit

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