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					                                                   User Group Registration Form
                                                           Boston, MA
                                                           26 June 2008
                        Please Fax registration form to 703.272.5635 (USA) prior to 12 June 2008

Subscriber User ID                                                                               Type of Company

Subscriber (Company) Name                                                                        ___ Academia ___ Biotechnology ___ CRO
                                                                                                 ___ Hospital       ___ Pharmaceutical
                                                                                                 ___ Regulatory ___ Systems Developer
Subscriber Address                                                                               ___ Other
                                                                                                 _______________________________________
                                                                                                 If Other, please specify:




Note: Unless special pre-approval has been granted by the MSSO Director, User Group participation is limited to MedDRA
subscribers only
Attendee Name                           Phone Number           Email Address                     Fax Number




Special Topics of Interest, Areas of Concern, Questions:



MedDRA® is a registered trademark of the International Federation of Pharmaceutical Manufacturers and Associations (IFPMA)

				
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