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Abstract: . . . CONTRIBUTIONS..............................................................................................$____________ TOTAL AMOUNT PAID ...........................................................................................................$____________ Payment by check : Checks drawn on a U.S. Bank in U.S. currency only. Make checks payable to: ISTH or International Society on Thrombosis and Haemostasis. Payment by credit card : Please circle one: Visa MasterCard (EuroCard) Name on card: _______________________ Card number____________________________________ Expiration date:____________ Authorized signature: ______________________________________ Please return this form to the address or fax number listed above. Please . . . --770,1,385,887,3852
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