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