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University of Pennsylvania School of Medicine

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PARTNERS IN RESEARCH: CNDR || IOA || UDALL || Penn ADC
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Sylvan M. Cohen Institute on Aging Annual Retreat - Registration Form and Poster Submission

Tuesday, May 12, 2009, 11:30am - 5:30pm
Houston Hall, University of Pennsylvania

Those presenting a poster must submit their registration by Tuesday, March 31, 2009.  Poster presenters are asked to have their posters displayed by 11:00am on May 12th.  The Hall of Flags will be open beginning at 9am for your convenience.

* required fields

I/we will be attending the Retreat from 12:30 - 3:30PM

I/we will be attending the Poster Session from 3:30- 5:30PM

Name:*

Contact Information* (to receive verification of registration):
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Website:

The Institute on Aging will be taking photos at this event for use in the Institute on Aging Newsletter & Website. Please contact us if you have concerns or objections to being photographed.

Poster Information:
Please note that the information you provide will appear in the Poster Session Book.
Title of Poster:*
Category of Poster:*             

Basic Science
Clinical Research
Educational or Other Community Programs

Name(s) of the Presenter(s):*
(Please list ONLY those authors who will be attending the Poster Session in conjunction with this Poster.)
Name(s) of the Author(s):*
(Please list ALL authors on the project.)
School/ Dept./ Affiliation/ Organization:*
   
  

 

For more information, please contact 215-898-3163

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