36th Annual Heinz S. Weens Memorial Lecture Question Title * 1. Name Question Title * 2. Will you attend the 36th Weens Lecture on October 6, 2022? Yes No Question Title * 3. How many guests will you bring? Just me 1 2 Question Title * 4. Are you a faculty, trainee, student, or staff member for the Department of Radiology and Imaging Sciences Other Department or Alumni (please specify) Done