Please fill out the information below to register for the February Stroke Action Teams Learning Communities. There is no charge to attend, but the contact information is needed for meeting preparation. There will be two regional learning communities. You need only register for one event.

The event on February 18th will be held in Des Moines at the Iowa Hospital Association Education Center at 100 E Grand Ave. The event on February 20th will be held at the Coralville Public Library, Meeting Room A, at 1401 5th St in Coralville.

If you have any questions, please contact Nancy Thompson at thompsonn@ihconline.org or 515-283-9330.

Thank you!

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* 1. First Name:

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* 2. Last Name:

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* 3. Name of Organization:

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* 4. Job Title:

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* 5. Contact Email:

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* 6. Please provide mailing address of facility: Street Address, City, State, Zip

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* 7. Please confirm the date and event location you are planning to attend.

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