ADEA Advocacy Day on Capitol Hill: Tuesday, September 19, 2017
To register for ADEA Advocacy Day on Capitol Hill, please provide the information requested below. Based upon your ZIP code, ADEA will arrange appointments with your members of Congress and/or their staff. Members always welcome the opportunity to hear from their constituents, especially experts in a field. Advocacy Day serves as a tremendous opportunity to educate policymakers about the importance of dental education and dental and craniofacial research.

NOTE: The Advocacy Day program will begin at 9:00 a.m., (breakfast will be available at 8:30 a.m.) and conclude around 11:30 a.m. (box lunches will be available). Most Hill meetings will be scheduled between 12:00 - 5:00 p.m. ADEA will schedule your appointments based upon the information you provide.

If you should have any questions, please contact Ryne Chua at ChuaR@adea.org.

Thank you for participating!

First Name
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Last Name
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Credentials/Degrees
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E-Mail Address
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Academic Institution
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Home Address (Street, City)
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Apt/Unit/Suite
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State
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ZIP Code
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Primary Contact Telephone Number
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Member Type
Have you met with a congressional office before?
If "Yes," which congressional office(s)?
Your answer
Will you need a hotel room? If "Yes," we will reach out to you with hotel options and group rates.
Do you have any dietary restrictions? If "Yes," please describe.
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Additional Information
Is there anything else that we should know that will assist us in planning your meetings? (e.g. Will you need to depart prior to 5:00 p.m.? Are you required to coordinate with your institution's government relations office? Etc.)
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