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CLINICAL TRIALS
ADMINISTRATION TOOLKIT
AAHC CEO Representative and/or Forum on Regulation Member
ADDITIONAL TOOLKIT ORDER FORM
- Complete and fax or email this form to Lynn Bentley, AAHC, at (202) 265-7514
or
- Mail to: Association of Academic Health Centers, 1400 Sixteenth Street, NW, Suite 720, Washington, DC 20036
or
- Order by phone with a credit card: 202-265-9600
Price:
$150.00 per Toolkit [ ] Check Enclosed [ ] Payment to Follow
(Note: First Class shipping and handling are included)
_____________________________________________________
Name
____________________________________________________________________ ___________
Title
Institution
Email Address Telephone
Address
Address
@ $150.00 $________________________
No. of Toolkits Ordered Cost per Toolkit Total Amount
Questions? Contact Lynn Bentley, at ebentley@aahcdc.org or call (202) 265-9600.