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Pharmacy Showcase Registration
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Email
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Your email
First Name
*
Your answer
Last Name
*
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone Number
Your answer
Please select one
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High School Student
Community College Student
4- Year College Student
SOP Alumni/Preceptor
Other:
Name of School
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Your answer
Graduation Year
Your answer
Please select what Showcase you will attend
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April 4th- Biloxi Visitors Center- Biloxi, MS 6:00-8:00
April 5th- MS Sport Hall of Fame Museum- Jackson, MS 6:00-8:00
April 12th- The Inn at Ole Miss- Oxford, MS 6:00-8:00
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Number of Guests attending
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0
1
2
3
4
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