34th Annual Caribbean Association of Pharmacists 2014 Conference, Grenada

Thank you for entering for your chance to win a few super duper prizes from

QUANTUM PHARM RX.

Please fill out the information below. Good luck!

- 2 tickets for the Rhum Runner Cruise (Thursday)

- Office Supply Survival Essentials (Friday)

- 1 Fitbit Flex Activity Monitor (Saturday)

- Free shipping on your next order (up to $100)

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Product Line Interests - Please check the items below to receive additional information and pricing:

Activities Attending *

Culturama, Thursday, 21 August

Rhum Runner boat cruise, Friday, 22 August

5 A.M. Swim with the Sharks, TBD

Grand Etang to Concord Via Mt Qua Qua - 4.4 mile Hike

Awards Ceremony & Gala, Saturday, 23 August

Ticket number *

Did you attend last years conference? *

Yes

No

Ambulatory Infusion Pumps & Disposables	Dantrolene Sodium I.V.
Unit Dose tablets & capsules	NeuroMed 7 Lidocaine Cream
Oncology Injectables	I.V. Antibiotics
Specialty Injectable Items: Heparin, Sevoflurane	Clean Room/Sterile Room Supplies
Disposable Elastomeric Infusion Pumps	Custom Pregnancy Test Kits
Other Items of Interest: Other Items of Interest: