NAfME Hill Day 2017 - Registration Reimbursement Form
**NOTE: The winner will need to purchase their own registration initially, but then CoVMEA will help you fill out the appropriate forms to get a reimbursement on registration (including meals!). Because of this, we recommend that you purchase your registration BEFORE filling this out if you are positive that you will be going whether you win this drawing or not.**

NAfME Collegiate Advocacy Summit: Hill Day 2017

June 27 - July1, 2017

Facebook Event:

Winner will be notified by email.

CoVMEA Registration Reimbursement Form available until May 30, 2017 or until Hill Day Registration fills up, whichever happens first. You should expect to receive your reimbursement check after Hill Day.

Email address *
Full Name *
Your answer
School *
Your answer
Full Name of who the Reimbursement Check should be made out to *
Your answer
Address to which the Reimbursement Check should be mailed *
Your answer
Why do you want to go to Hill Day? What do you hope to gain? (optional, but encouraged)
Your answer
A copy of your responses will be emailed to the address you provided.
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