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MAILING LIST OR CHANGE OF ADDRESS REQUEST - Close this window after you are finished to return to the Web site.
If you wish to be added or make an address change to the International AIDS Society-USA mailing list, which includes CME course program announcements and issues of our publication, Topics in HIV Medicine®, please complete this form. All information requested must be provided. Mail or fax the completed form to:
International AIDS Society-USA 425 California Street, Suite 1450 San Francisco, CA 94104-2120 (415) 544-9401 (fax) |
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Please check the appropriate box: |
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MI
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Last Name
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IAS-USA ID Number (if applicable - the number is located in the upper left corner of the IAS-USA mailing address label)
Institution/organization (no abbreviations please) Specialty or primary field of interest Currently, for how many HIV-infected patients are you providing care? What percentage of your patients is HIV infected? Mailing address Home Work
Country
E-mail
Do you work for a commercial company? (eg, pharmaceutical, diagnostic, medical product, advertising, insurance, investment, or communications) Yes No
If yes, name of company (you will be sent additional course/registration information)
Type of company
Source Code: WEB 08
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