Monday Evening Welcome & Networking Dinner Reception

The Smith Center for the Performing Arts in Las Vegas, Nevada

Address: 361 Symphony Park Ave.

Monday, May 15th at 6:30 p.m.

Please submit this registration form by Friday, April 28, 2017.

Please send all inquiries to ctr-in@unlv.edu

MONDAY EVENING RECEPTION REGISTRATION FORM

First Name (required)

Last Name (required)

Degree(s) (required)

Title (required)

University/Institution (required)

If Other Selected Enter University/Institution below

Your Email (required)

Cell phone number eg. (123) 345-6789

Will you be attending the Dinner Reception (at the Smith Center for the Performing Arts in Las Vegas) on Monday, May 15th at 6:30 p.m.?
No Yes 

Special Needs/Food Allergies – fill in box below

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Mountain West CTR-IN

The CTR-IN program is supported by the NIH through the National Institute of General Medical Sciences (NIGMS) #1U54GM104944-01A1 under the Institutional Development Award (IDeA) program.

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