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Thank you for your interest in joining the Neonatal Kidney Collaborative. Please fill out the below form to give us some more information about your background, experience, and interest in neonatal nephrology and the NKC. We will be in touch once we have your information to discuss areas of ongoing involvement and opportunities for collaboration.
 
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Choose what best describes your affiliation to the NKC *

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We accept the following cards
We accept MasterCard.  We accept Visa.  We accept American Express.  We accept Discover.  We accept Diners Club. 
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Do you belong to the Australian and New Zealand NKC Chapter? *
Would you like to participate in a committee or workgroup? *
If yes, select participating committee or workgroup. *
If comfortable, please share your story
I agree with the Code of Conduct outlined by the Neonatal Kidney Collaborative. *

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