Georgetown CCF 2015 Annual Conference - State Partner RSVP
Please note this form is for our state partners and state-based advocates to RSVP for Georgetown CCF's 2015 annual conference. Registration is free for our state partners.

National partners will receive a different RSVP link. If you have any questions, please email Sophia Duong at sophia.duong@georgetown.edu.


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Will you attend the conference this year?
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First Name
Last Name
Email Address
Phone Number
Organization
State
Do you have any dietary restrictions or food allergies?
Will you attend the pre-conference session on Medicaid managed care on Tuesday, July 21 from 8:00-11:30 am?
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So that we can provide the hotel with an accurate headcount, please indicate which of the following meals you will attend:
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