Nutrition for your Energy and Health

Location and date of the Meeting or Event - Please check the meeting(s) for which you are registering *

Central Canada Support Group Meeting - July 10, 2024

Western Canada Patient Support Group - July 15, 2024

Atlantic Provinces Support Group - July 18, 2024

French Speaking Support Group - August 7, 2024

Edmonton Patient Education Meeting - October 5, 2024 **IN PERSON**

Montreal Patient Education Meeting - November 9, 2024 **IN PERSON**

Winnipeg Patient Education Meeting - November 16, 2024 **IN PERSON**

Webinar: Nutrition for your Energy and Health - November 7, 2024

First Name

Last Name

Phone number

Email Address

Address

You are a

Diagnosis (if applicable)

Aplastic Anemia (AA)

Myelodysplasia (MDS)

Paroxysmal Nocturnal Hemoglobinuria (PNH)

OtherOther

Date of Diagnosis

We encourage sharing and networking at the meeting and can specify your disease type on your name tag to facilitate networking. Please indicate if you would like your disease type on your name tag

Yes

No

How did you hear about the meeting?

I would like to be added to the mailing list to receive updates, newsletters and other information

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Website/URL

Volunteer

Clinical Trials

Patient Support

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