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Dynamic Forecasting in the Oncology Environment - Kantar Health

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REGISTRATION FORM<strong>Forecast<strong>in</strong>g</strong> In <strong>the</strong> <strong>Dynamic</strong> <strong>Oncology</strong> <strong>Environment</strong>September 20, 2012Philadelphia, PAName ___________________________________________________________________________________Title __________________________________________________________________________________Company __________________________________________________________________________________Address __________________________________________________________________________________City/State/CountryZip Code __________________________________________________________________________________Telephone __________________________________________________________________________________Fax __________________________________________________________________________________E-mail (required) __________________________________________________________________________________How did you learnabout workshop? Email Direct Mail Colleague AdvertisementRegistrationFeePaymentMethod$700 American Express MasterCard VISACredit Card #: __________________________________________________________________________________Expiration Date:________________AmountAuthorized_____________________________________________________Pr<strong>in</strong>t Name(as shown on card) __________________________________________________________________________________Signature __________________________________________________________________________________Email (<strong>the</strong>resa.ressel@kantarhealth.com) or fax (+1.314.469.6794) <strong>the</strong> completedand signed form to Theresa Ressel.

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