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REGISTRATION - AWARE for All INDIANA 2007

Saturday, November 3, 2007
9:00am - 2:30pm
Indiana Convention Center & RCA Dome
Indianapolis, IN

Although AWARE is free and open to the public, we require registration to ensure ample workshop seating and complementary lunches for all attendees. Please fill out the following form to register for the AWARE event or to receive more information on the event.



CISCRP 2007 AWARE INDIANA - REGISTRATION FORM

First name
Last name
Organization Name (if applicable)
Street Address (Line 1)
Street Address (Line 2)
City
State
Zip Code
Email Address
Phone Number
   
Have you ever participated in a clinical trial? Yes    No
   
Will you be attending breakfast? Yes    No
Will you be attending lunch? Yes    No
   

Session 1 (10:30am-11:20am) - Please choose one.
Clinical Research focus on Women's Participation
Clinical Research focus on "Healthy Volunteers"
Clinical Research focus on Heart Disease
Clinical Research focus on Neurological Diseases
   
Session 2 (11:35am-12:25pm) - Please choose one.  
Clinical Research focus on Diabetes
Clinical Research focus on Minority Participation
Clinical Research focus on Allergies and Asthma
Clinical Research focus on Cancer
   
Where did you hear about AWARE for All?

 
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 This web site is run by CISCRP, a non-profit organization focused on educating and informing the public about clinical research participation. CISCRP is not involved in recruiting patients for clinical trials nor is it involved in conducting clinical trials.