January 2015 Quarterly Meetings

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Please complete the following information to confirm your attendance at the upcoming January Quarterly Meeting. This information helps the planning team prepare meeting packets, order food, and set up the room properly.

Which portion of the meeting will you attend? *

IHS-TSGAC (January 28th, 2015)

DOI-SGAC (January 29th, 2015)

Both

First Name *

Last Name *

Title *

Tribe/Organization *

E-mail Address *

Telephone

Cell Phone

For cases of emergency only

Mailing Address

Are you staying at the host hotel (Embassy Suites DC Convention Center)? *

Yes

No. If not, please provide the hotel where you'll be staying.

Other:

Required

Please list any food allergies or other needs meeting planners should be aware of.

Submit

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