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*First Name: Middle Initial: *Last Name: Address: Apt/Suite#: City: State: Zip: Phone: Email: *Seminar Detail: (Select one)Winston-Salem -- January 8, 2008Cary -- January 16, 2008Durham -- January 28, 2008Cary -- February 6, 2008Durham -- February 18, 2008 Durham -- March 10, 2008Winston-Salem -- March 11, 2008Cary -- March 12, 2008Cary -- April 9, 2008Durham -- April 21, 2008 Cary -- May 7, 2008 Durham -- May 12, 2008Winston-Salem -- May 13, 2008Cary -- June 4, 2008Durham -- June 16, 2008Winston-Salem -- July 8, 2008Durham -- July 21, 2008Durham -- August 18, 2008Winston-Salem -- September 9, 2008Durham -- September 22, 2008Durham -- October 6, 2008Winston-Salem -- November 11, 2008Durham -- November 17, 2008Durham -- December 8, 2008 *How do you know about us?: (Select one)InternetNewspaperNews&Observer.comTelevisionPhysicianFriendOther

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