Exit this survey 11/18/10 Health Care Reform Seminarat the Wyndham Jacksonville Riverwalk, Jacksonville, FL8:30 am - 11:30 am - RSVP Please complete the e-form below to reserve your seat at our complimentary seminar. Questions: contact Caryn Ojeda, The NIA Group, 201.336.1361. Question Title * 1. Please complete the following: First Name Last Name Title Phone Email Question Title * 2. Please complete the following: Company Name Industry Number of Employees Address City State Zipcode Question Title * 3. My company is a/an: NIA Client Fowler White Boggs Client Purvis Gray & Company LLP Client None of the Above Question Title * 4. I plan on bringing a guest. Yes No Submit