BCBS Diabetes Conversations RSVP & Las Conversaciones de BCBS Sobre Diabetes Reserva tu Lugar
Please reach out to sammie@marnitastable.org with questions.

Comuníquese con marlene@marnitastable.org si tiene preguntas.
Email *
First Name/Nombre *
Last Name/Apellido *
I want to attend / Quiero participar...
Phone Number/ Número de teléfono
Which incentive do you prefer? ¿Qué incentivo prefieres? *
I am a... Yo soy un@...
Clear selection
Organization/Place of Employment (if applicable) - Organizacion /Lugar de trabajo (Solamente si aplica)
County/Condado
Who did you learn about this event from? ¿Cómo se enteró de este evento?
Do you need translation support to participate? ¿Necesita intérprete?
Clear selection
What type of device are you planning to use during the event?/ ¿Qué tipo de dispositivo electrónico planeas utilizar durante el evento?
Clear selection
Do you need any help or support connecting to zoom? ¿Necesita apoyo para conectarse?
Clear selection
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