CPHA 2017 Registration Form
The 2017 California Partnership of Healthcare Advocates (CPHA) Statewide conference provides an opportunity for healthcare advocates to receive program updates, share and learn best practices, and network. This year, healthcare advocates from all over the State will come together to receive information given the "threat" to the Affordable Care Act, as well as other information to help you navigate through the healthcare delivery system in our California because "what we do matters."

This is a FREE conference (no registration fee) and you and/or your representative(s) are welcome to attend.

EVENT: Wednesday, September 6, 2017, 7:00 a.m. – 4:00 p.m @ the Sacramento Convention Center (light Breakfast and Lunch Served) 1400 J Street, Sacramento, CA 95814

This event will provide an opportunity to meet and share with Statewide healthcare advocates.

We look forward to your attendance at this exciting and informational event. Please sign up below!
(DEADLINE Friday July, 21,2017)

For logistical purposes, and given that the registration is free we ask that you complete your registration soon.

LAST NAME *
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FIRST NAME *
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TITLE *
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ORGANIZATION *
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ADDRESS *
Please provide full adress including numbers, street name
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CITY *
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County *
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STATE, ZIP CODE *
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CONTACT NUMBER *
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OTHER PHONE
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EMAIL *
Email must be correct in order to receive confirmation of your registration
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CONFIRMED EMAIL *
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Travel Scholarships Are Available for the individual representing his/her organization (Click the Forms Tab)
Scholarships will be provided for a portion of travel and lodging costs. Awards and amounts will be based on meeting certain criteria and distance from the organizational address to the conference location. Only 2 individuals per organization are eligible for scholarships.
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