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8th Annual California ALS Research Summit - Online Registration Form
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Last Name *
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Institution/Affiliation: *
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Name and title as it should appear on badge: *
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Email Address: *
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Address 1:
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Address 2:
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City:
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Best phone number to contact you: *
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I plan to attend the summit: *
Will you be joining us for dinner on Friday, January 19, 2018? *
This will be held at the Sheraton Palo Alto Hotel following the summit activities
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Do you have an administrative assistant that we can contact if necessary?
Please enter their name, telephone, and email address
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Special dietary or accessibility needs:
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Method of transportation to the conference: *
Where will you be staying? *
If you are staying at the Sheraton Palo Alto Hotel, please list your arrival and departure dates below:
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Are you interested in presenting a scientific poster for consideration in a juried competition?
Are you interested in presenting a summary of clinical project(s) during the conference?
Note- if "yes", please note the deadline for Poster Submissions is December 30, 2017. Please submit to Clive.Svendsen@cshs.org and cc his assistant at Arleen.Hernandez@cshs.org with a summary of what you would like to present. As many presentations as possible will be accommodated.
In your opinion, what were the 1-2 most significant clinical or basic science publications in ALS/MND over this past year?
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Any additional comments or questions for the summit organizers?
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