aap district viii section on perinatal pediatrics

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AAP DISTRICT VIII SECTION ON PERINATAL PEDIATRICS
31ST ANNUAL CONFERENCE ON NEONATAL/PERINATAL MEDICINE
June 29 - July 2, 2006
ABSTRACT FORM
PRESENTING AUTHOR:
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TELEPHONE:
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I WOULD PREFER ORAL PRESENTATION
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POSTER COMMUNICATION
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Abstract
FOR PUBLICATION OF THE CONFERENCE PROCEEDINGS, I HEREBY GIVE PERMISSION TO REPRODUCE MY
PRESENTATION, WITHOUT FURTHER CONSENT.
Signature: _________________________________________
Sponsor’s Signature: ________________________________
DEADLINE FOR RECEIPT OF ABSTRACT IS MAY 1, 2006.
Date: ___________________
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