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Video Competition Entry Form
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Video Competition Entry Form
Video Outreach Competition
Deadline for entries: October 1, 2013
Name
*
First
Last
Institute/Company
Department
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
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Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
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France
Gabon
Gambia
Georgia
Germany
Ghana
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Guatemala
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Iran
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Jordan
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North Korea
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Laos
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Liberia
Libya
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Malawi
Malaysia
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Mali
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Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
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Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
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Serbia and Montenegro
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Solomon Islands
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Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
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Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
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Tuvalu
Uganda
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United Arab Emirates
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Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
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Waiver
Please Read:
I hereby agree to release Orthopaedic Research Society (ORS), and all their staff, volunteers, associates and affiliates acting on behalf of ORS from any and all liability associated with the use of this video for the competition and for any other purposes deemed appropriated by ORS. I agree that all video submissions become the property of ORS and release my rights to this video. I understand that the video may be seen by anyone with access to YouTube and/or in future publications, multimedia presentations, on the ORS website, and other public forums and that any person in the video may be identified by persons outside of the competition. I agree to allow the ORS to use this video without reservation or condition. I agree I am voluntarily participating. I agree to the above statements and agree to hold harmless ORS, and all staff, volunteers, associates, and affiliates from any action resulting in the use of the video.
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Jun
23
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2013
2013 eCM XIV: Stem & Progenitor Cells for Musculoskeletal Regeneration
Aug
19
Mon
2013
2nd International Conference and Exhibition on Orthopedics & Rheumatology
Sep
4
Wed
2013
4th Joint Meeting of the Bone Research Society and the British Orthopaedic Research Society
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