Programs and Services

State Meeting 2014 RSVP

Please complete the form below to let us know if you will be attending the State Meeting, March 6-7, 2014. Contact Patricia Williams at pswilliams@hog.org or 770-518-8272 if you need additional information.

1.	What is your first and last name? *
2.	What is your job title? *
3.	What is your email address? *
4.	What is the name of your Hemophilia Treatment Center or Employer? *
5.  Will you attend the State Meeting March 6-7, 2014? *      Yes  2 No   If no, please scroll down and click the submit button.
6.  Please check your plans for attendence      I will stay overnight at the meeting hotel 1 I will attend the session on Thursday but not stay overnight 2 I will attend the sessions on Friday but not stay overnight
7.  Which of these events will you attend?     Important! Please help us give accurate numbers to the hotel for each meal/reception.      Wine and Cheese Reception, Thursday at 6:00 pm 1 Dinner, Thursday at 7:00 pm 2 Breakfast, Friday at 7:00 am 3 Lunch, Friday
	* Required