Date: March 2, 2015Location: Empire State Plaza, Albany, NYFee: ComplimentaryThank you for registering for Community Health Center Grassroots Advocacy Day. Please fill out this form and click "Submit" at the bottom of the page to complete the process. It is important that we have a completed registration form for each person planning to attend, as we will use these numbers to determine the amount of food needed. If you would like to register additional people, you will be given the opportunity to return to this page once you have submitted the current form.
If you have questions or need additional information, please contact us at firstname.lastname@example.org or call Kate Graetzer at (518) 434-1115.
CHCANYS is unable to provide transportation to/from Advocacy Day. Please contact your health center to make travel arrangements. Car pools, buses or vans are recommended.
Please supply the following information if you are completing this form for someone else.
COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE
111 Broadway, Suite 1402, New York, NY 10006
(212) 279-9686 |
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