April 10th, 2019 - PT Day at the Capitol ~ Sign up form
Please fill in your information below. It is important that we have an accurate count for space reasons. You will receive specific updates about the day’s agenda and locations to meet, so be on the lookout for those. If you do not receive anything, please contact
Will you be eating breakfast with us?
Zip Code + 4 (The +4 is needed to identify your representatives)
Primary Practice Setting
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