CHS-MC Women & Girls' Bleeding Disorders; "Advocacy at Home and Abroad" Dinner & Presentation Registration
100 Person capacity
Attendee Information
Please fill name and contact information of attendees.
Name
First Name
Last Name
Email Address
example@example.com
Do you have any food allergies or restrictions?
Will you have a guest with you?
Yes
No
Guest Name
First Name
Last Name
Does your guest have any food allergies or restrictions?
CHS-MC will contact registrants in advance of the event with location instructions.
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