2023 MALPH Day at the Capitol Event

Please let us know which event(s) you plan to attend for the annual Day at the Capitol. If you are attending ANY of the events on April 10th and/or 11th, please be sure to select that option. A question later in the survey will allow for you to select which specific events you plan to attend.

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* 1. Name

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* 2. Organization

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* 3. Email:

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* 4. Which event(s) do you plan to attend (check all that apply):

MALPH BOD Meeting - April 10th

MALPH Reception (April 10th)

County Health Rankings Presentation and Legislative Breakfast (April 11th)

Michigan Hometown Health Hero Awardee Luncheon (April 11th)

2023 MALPH Day at the Capitol Event

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* 1. Name

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* 2. Organization

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* 3. Email:

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* 4. Which event(s) do you plan to attend (check all that apply):

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* 5. Please list any dietary or physical restrictions: