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Thank you for your interest in attending the Retrrovirology Dinner Club Meeting on
Thursday
,
March 27, 2025
at
Dana-Farber Cancer Institute
Smith Family Room
,
D1620
,
6-8PM
.
To best accomodate our attendees, please fill out the information below.
First Name
*
Last Name
*
Email Address
*
What is your institutional affiliation? (Select as many as apply)
*
Beth Israel Deaconess Medical Center
Boston Children's Hospital
Boston Medical Center
Boston University
Brigham and Women's Hospital
Dana Farber Cancer Institute
Fenway Institute
Harvard Medical School
Harvard T.H. Chan School of Public Health
Harvard University
Mass General Hospital
Ragon Institute of MGH, MIT and Harvard
Tufts University
Tufts University School of Medicine
Other (please specify)
Other Institutional Affiliation
*
Position/Title
*
Do you require Parking?
Yes
No
Do you have any special dietary requirements?
None
Vegetarian
Other/Allergies (please specify, eg., tree nuts, shellfish)
Other/Allergies (please specify, eg., tree nuts, shellfish)
Thank you!