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    I am willing to be a reviewer for The Clinical Teacher and for my details to be held with ASME and Wiley (publishers of TCT)*
    I am willing to chair sessions at ASME's ASMs (if I am attending)*
    I am willing to review abstracts and/or grant applications for ASME*

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    I confirm that I am happy for ASME to contact me regarding this enquiry using the details I have provided by any of the following methods: