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FMG Creative Innovation Communication and Branding (CICB) - Social Media Content submission form

Please complete this application to the best of your ability, which will ensure that your application is efficiently processed.

First Name
Last Name
(See the guidance on how to select the content type categories on last page of this form if needed)

Please submit the tweet (280 characters only) supporting the content you are submitting here. Include the physician name and username on social media as needed 

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

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