HCA 2nd Annual Member Retreat

Registration Form

Please complete the below information as the RSVP for the HCA 2nd Annual Member Retreat June 23-24 in Chicago.

Please book your hotel stay at the SHERATON SUITES CHICAGO O'HARE HERE.

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* 1. Contact Information

First Name:

Last Name:

Company:

E-mail:

Phone:

Cell phone (in case of emergency):

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* 2. I plan to attend the networking reception and dinner Sunday evening (June 23) at 7:00 PM.

Yes

No

Other (please specify)

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* 3. What do you see as the most significant
opportunities for the association in the next
five years?

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* 4. What do you see as the most significant
challenges facing the association in the
next five years?

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* 5. HCA Attorney Rick Locker will be in attendance to discuss any topics or questions. Do you have any specific questions or topics you would like addressed at the retreat? If so, please comment below: