2016 Advocacy Day Registration

Please complete the information below to register for the 2016 March of Dimes Advocacy Day in Nashville!

OUR EVENTS: See event flyer on our website. Event specifics will be sent to registered participants only.

* ADVOCACY DAY: Tuesday, March 1st from 9:00am-3pm CST.
* CONFERENCE CALL TRAINING: Tuesday, February 23rd from 1-2pm CST/2-3pm EST.

We hope you will be one of our advocates this year! This will be a rewarding day to advocate to our legislators about issues concerning the health of women, infants, and children in Tennessee. Please share with your friends, family, students, and colleagues and encourage them to attend and show their support as well.

For more information, please contact Tamara Currin via email at tcurrin@marchofdimes.org or by phone at 615-800-7181. We appreciate your support!

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* 1. What is your first and last name?

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* 2. What organization are you representing?

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* 3. What is your job title?

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* 4. What is your address? (please include city and zip code)

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* 5. What is your email address?

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* 6. What is your phone number?

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* 7. Will you attend Advocacy Day on Tuesday, March 1st from 9:00am-3pm CST?

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* 8. Will you attend the Conference Call Training on February 23rd from 1-2pm CST/2-3pm EST? (recommended for all participants)

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* 9. Are you registering a group?

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* 10. Additional Comments:

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