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PTRS RSVP for Open House

What: University of Maryland School of Medicine Department of Physical Therapy and Rehabilitation Science
When: Saturday, September 12, 2015 from 9:00AM - 12 noon
Where: Allied Health Building, 100 Penn Street, Baltimore, MD 21201
Detailed Flyer  
Attending PTRS Open House?
If attending, total number of people attending including yourself:  

Would you like to be including on PTRS' Mailing List?

First Name*:  
Last Name*:  
Street Address*:  
Zip Code*:  
Home Phone Number:  
Work Phone Number:  
Undergraduate School*:  
Year of Graduation*:  
Email Address*:  

* denotes required field