RSVP for January 5, 2012 HCFANY Annual Meeting

Hello there!

Thank you for your interest in Health Care For All New York (HCFANY).

HCFANY's Annual Meeting will be held on January 5th, 2012 in Albany, NY. Please let us know if you will be able to attend.

Question Title

* 1. Will you be attending the HCFANY annual meeting?

Yes

Question Title

* 2. Please fill in your information below.

Name: *

Company: *

Address:

Address 2:

City/Town: *

State:

ZIP:

Email Address: *

Phone Number: