DCCC Seminar Registration Form: 4/25 2pm Lung Cancer
因主講者會議衝突,本次講座將由原訂的4/24 2pm改成4/25 2pm,造成不便,深感抱歉!
First Name 名 *
Last Name 姓 *
Gender 性別 *
Age 年齡 *
Email 電子信箱 *
Home Zip Code 郵遞區號 *
Phone number 電話 *
Where do you know about this event? 您如何知道此次講座?(可多項選擇) *
Whether or not to receive emails from DCCC? 是否願意收到中心相關信息? *
Comments 其他問題(如果有講座相關問題,可以事先告知,謝謝!)
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