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Iatrix21 Interest Form
If you are interested in starting a new local Iatrix21 chapter, please fill out this form. After submitting your email address and location, we will soon get back to you via email with information on resources and services that we can provide to your club as an officially recognized chapter of Iatrix21.
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Your name
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Location
*
Please tell us the location (name of a city, town, neighborhood, or school district) you are interested in starting a new Iatrix21 chapter in.
Your answer
Why are you interested in creating an Iatrix21 chapter?
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Please tell us a bit about yourself.
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