Veritas Institute Thursday, March 11, 2010
    
TO REGISTER FOR The Real Deal With CML: Case- and Dialogue-Based Education  Designed to Facilitate Integration of New Agents and Guidelines Into Clinical Practice, PLEASE COMPLETE THE FORM BELOW.

TO ENSURE ENTRANCE INTO SYMPOSIUM/LUNCH ROOM, YOU MUST BRING YOUR
CONFIRMATION TO THE REGISTRATION TABLE.

 
   
 
 
First Name  
Last Name  
Degree  
Clinical Specialty  
Affiliation  
Address  
City  
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Phone     999-999-9999
Fax         999-999-9999
E-mail    
Verify E-mail    
 
 
 
Americans With Disabilities Act
Veritas Institute for Medical Education, Inc. and Bristol-Myers Squibb Company fully comply
with the legal requirements of the Americans With Disabilities Act and the rules and
regulations thereof. If you are in need of any specific accommodation, please notify
Rachel Moss at (201) 727-1115, ext. 2346, in order to receive service.  
 
Questions: If you have any questions regarding this activity, please call (877) 225-2927
and leave a message. Your call will be returned.
 
VIBCML15