Masonic Cancer Center, University of Minnesota

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Masonic Cancer Center of the University of Minnesota

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Cancer U Registration Form

PSA: Issues in Screening and Diagnosis
6-8 p.m., Thursday, October 29, 2009
 A.I. Johnson Great Room, McNamara Alumni Center

If you need to register for guests, a link back to this form will be provided after you submit your registration. Please complete the form for each of your guests.

If you have questions about Cancer U, contact the Cancer Information Line, 1-888-CANCER MN (1-888-226-2376) or 612-624-2620, or e-mail ccinfo@umn.edu.

First Name:


Last Name:


Address:


City:

State: Zip Code:

Home Phone:

E-mail:

How did you learn about Cancer U?
Mail
Newspaper
Radio
Web site
Friend/family
Other

Would you like us to add your name to the Masonic Cancer Center mailing list?
Yes

By registering for this event I give my permission to the University of Minnesota and its affiliates to use photographs, videotapes, or other recordings of me made during the program.