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A Treatment Option for
Metastatic Pancreatic Cancer
A Celgene Promotional Program
Presented by
Registration Form
Elizabeth Poplin, MD
Rutgers Cancer Institute of NJ
New Brunswick, NJ
Name:
Degree:
Thursday, October 10, 2013
Address:
6:30 PM - 8:30 PM
City: __________________ State:_______________ Zip: _________
Phone: _____________________
Fornos of Spain
Fax:
E-mail:
47 Ferry Street
Newark, NJ 07105
(973)589-4767
In accordance with the PhRMA Code on Interactions with
Healthcare Professionals, attendance at this promotional
program is limited to healthcare professionals.
Accordingly, attendance by non-clinical guests or spouses is
not permitted.
To register for this program, please complete the above
information and fax this form to (678)712-5087,
attention to Erica Miciek with Envision Communications.
You may also register by emailing
[email protected] with the above information.
Please contact the Celgene representative, Matt
McDonald, at with any questions.
This is a promotional program and no CME credits are offered.
©2013 Celgene Corporation 08/13 US-CELG130195