Our Health is Not For Sale!
Thank you for your interest in our workshop, held in solidarity with the International Day of Action against Privatization of Health Care! Please fill out the following registration form for workshop on April 7, 2017, University of Washington, Seattle, WA (location to be announced!)
First Name
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Last Name
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Email
(for updates on the event)
Your answer
Phone
Your answer
Organization/Affiliation/University
Your answer
Are you a student?
If so, what's your major/degree program?
Your answer
Why do you want to participate in this workshop, and what do you hope to gain from this experience?
Your answer
What areas of health does your work, activism, interests, or research focus on (if applicable)?
(please check all that apply)
Required
What local and global networks are you affiliated or active with?
Including school, political or social activism, community organizations, etc to which you are connected.
Your answer
How did you hear about this event?
Questions or Comments?
Your answer
Consider making a donation
This event is free and open to the public; however, your support of this workshop will help ensure that we can reach out to even more community members.

Please consider making a donation on the Health Alliance International website, available here: http://www.healthallianceinternational.org/donate/

If sending a check, please write "Day of Action" in the memo line so we know where to direct your generous donation.

Thank you!

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