Transforming Health Coverage for Children and Families: Northeastern States

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1. Please provide your contact information.

Please provide your contact information.   Name:
Organization:
Address:
Address 2:
City/Town:
State:	-- select state --AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming
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2. Will you attend Transforming Health Care Coverage for Children and Families: A Convening of Northeastern States, March 17-18, 2010, in Providence, Rhode Island?

Will you attend Transforming Health Care Coverage for Children and Families: A Convening of Northeastern States, March 17-18, 2010, in Providence, Rhode Island?   Yes No

3. One session under consideration is a Communications Training provided by Spitfire Strategies. It would be scheduled for the afternoon of Wednesday, March 17. Would you attend this session?

One session under consideration is a Communications Training provided by Spitfire Strategies. It would be scheduled for the afternoon of Wednesday, March 17. Would you attend this session?   Yes No

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