GAHTC CONFERENCE, Los Angeles 2017
Friday September 29, beginning at noon.
Saturday September 30, ending at 7pm.

Please complete the RSVP form below. Do not book travel tickets before recieving confirmation from GAHTC. Contact emurchie@mit.edu with any questions.

Full Name
Your answer
email address
Your answer
Will you attend?
The conference duration is Friday September 29th 12PM-Saturday September 30th 7PM
Travel: Where will you be traveling from?
Your answer
Estimated travel budget
GAHTC is able to offer some funding for travel (economy air, train or bus). Please provide here a reasonable estimate of your cost of travel. GAHTC will notify you with how much funding is available.
Your answer
Do you have other sources for travel funding?
If yes, please indicate the amount of funding you expect to receive from other sources.
Your answer
Accommodation: which nights you would like a hotel room for?
Required
GAHTC will host all members able to attend, as such, rooms will be double occupancy; do you have a GAHTC friend you would like to share with?
Your answer
Do you have any special dietary requirements?
Your answer
Comments or questions?
Your answer
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