Interest Form for IMI Conference in Atlanta, Georgia (October 29-31, 2021)

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This form is to express interest in the IMI North American CME Conference this October 29-31, 2021 at Atlanta Marriot Evergreen Conference Resort.

Please fill out this form if you would like to receive more information about the conference.

Name *

Email *

Address *

Phone number

Are you interested in presenting at the conference?

Yes

Maybe

Clear selection

If yes, please describe your presentation or panel. IMI Academic Council Team will be in contact with you.

Are you interested in staying at the resort/hotel?

Yes

Maybe

Clear selection

Comments

Thank you for completing the interest form.

We will contact you shortly with more details, stay tuned!

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