Registration FALL SYMPOSIUM 2024

Fields marked with * are required.

First name *

Last name *

Email *

Employment *

Organization *

I will participate in the Scientific Match Making event? *

Yes No

If Yes, please specify topic of interest, named person, etc

I will bring a poster (The Center will print for you free of charge) *

Yes No

If Yes, please enter poster title

I will attend the symposium dinner *

Yes No

Dietary restrictions/allergies

Center for Medicinal Chemistry