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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