2019 CDMD Winter Convention

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Saturday, Nov 23rd
12-4 PM
John Hopkins University, Krieger 309
3400 N Charles St, Baltimore, MD 21218

First and Last Name *

E-mail *

Cellphone *

Your University *

Chapter Position *

If you are a member of your chapter's executive board, please select your role. If you are a member of your chapter's executive board but do not see your role, or a similar role, select Option 7 "Other" and state what your role is. If you are general member, select Option 6 "General Member."

President

Vice President

Treasurer

Secretary

Communications

General Member

Other:

Dietary Restrictions?

Any additional information?

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