September 16th, 2022 (reception from 6 - 8 pm on September 15th, 2022)

Red Lion Hotel Harrisburg Hershey
4751 Lindle Road
Harrisburg, PA  17111

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* 1. First Name

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* 2. Last Name

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* 3. Title

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* 4. Organization Name

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* 5. Street Address

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* 6. City

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* 7. State

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* 8. Zip Code

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* 9. Email Address

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* 10. Phone Number

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* 11. I am registering for:

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* 12. We will be hosting a Joint Commission Speaker for the fall conference.  If you have any questions you would like addressed during the presentation, please submit them here and we will be sure to pass them on to the speaker.  

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* 13. Similar to past conferences, we will have representatives from the PA Department of Health (both DSI and DAAC) presenting on Friday afternoon.  If you have any specific topics you would like to hear about, or any questions you would like answered, please submit them so we can let them know to address them in their presentations.

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* 14. Please list any special accessibility or dietary needs.

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* 15. Will you need a certificate of completion for ASHE CEU credits?

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* 16. Will you be attending the Thursday evening reception?

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* 17. Will you be attending the Friday morning continental breakfast?

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* 18. Are you a current ASHE member?

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