Name:             
Title:            
Dept:             
Facility/Company: 
Address:          
                  
City:             
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Date:             

We'd like to hear more about you:

How many patients do you accession per year?

Is your current cancer registry computerized?

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What software do you currently use?

Is your facility affiliated with another facility/corporation?

Yes No

If so - Name of facility/corporation:

Is your facility considering merging with another facility in the near future?

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To learn more about MRS you may request:

A packet of information including a complimentary video.

A call to schedule an on-site demonstration.

Receiving future MRS mailings.

Tell us what more you would like to see on the MRS website: