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GP Liver Forum Registration
Fairmont Hotel Vancouver, 900 West Georgia Street, Vancouver BC
Saturday October 5th, 2019
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There is a $50 registration fee for this program
If there are any changes / not attending please inform us by email
Surname *
First Name *
Email Address *
Profession *
Required
If "Other" please specify
Place of Employment and Department *
Mailing Address *
City *
Province *
Postal Code *
Telephone *
Fax
Thank you for registering for the 2019 GP Liver Forum
Check your email for a confirmation of your registration.

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