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Registration: Region 6 Perinatal Quality Coordinator Town Hall

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* 1. Type your first and last name.

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* 2. Type your email.

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* 3. I plan to attend in person at the main site or satellite location. 

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* 4. Which location do you plan to attend?

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* 5. Lunch is included in your registration.  Please indicate if you will be joining us for lunch. Please leave a comment for any dietary restrictions. We will do our best to accommodate.

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* 6. Which county do you live and/or work in?

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* 7. Are you attending as a community member or on behalf of an organization?

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