Your details

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* 1. Full Name

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* 2. Email

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* 3. Are you a current RBMS member?

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* 4. Do you want to join the 11ASM conference committee?

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* 5. Do you want to join the RBMS Awards Gala Committee?

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* 6. Home Location (City, State, Postcode)

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* 7. Current role & Organisation

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