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PCoRP Annual Membership Dinner Meeting
Monday, November 21, 2022
Hotel Hershey

Important updates about PCoRP will be provided.
Please make sure your county is represented at the Annual Meeting!

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* 1. Name:

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* 2. County:

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* 3. Title:

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* 4. Your Attendance Plans:

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* 5. My Meal Preference:

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* 6. If you wish to register others from your county, please list their name and title here. If you have additional names that will not fit in this box, please email guest names to jhartz@pacounties.org.

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* 7. Please list the guest name(s) along with their meal preference.
Salmon or Beef?

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* 8. Comments/Other Needs:

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* 9. CCAP takes member safety and security very seriously, which includes attendee safety during our events and Conferences. To assist with this effort, CCAP is requesting your emergency contact information. The fields on this page are required; however, if you prefer not to supply an emergency contact, you can populate the boxes with your own name and number in order to continue with your registration.

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