COMCARE Affordable Care Act Event

September 12, 2013

1. REGISTER NOW

Thank you for registering for this one day event hosted by COMCARE. This event is free to COMCARE members, but a registration fee of $60.00 is required for non-members. Lunch will be provided. Please direct any questions regarding your membership status directly to Christie Ward at cward@pacounties.org. We have arranged for a block of rooms at a reduced rate for any of our attendees for September 11. Refer to Code CCA113A when reserving your room, either by calling (800) 233-7505 or by logging onto their website www.thepennstaterhotel.psu.edu/. Attendees will be responsible for their own travel and overnight accommodations.

The event will be held at the Penn Stater in State College on September 12, 2013. Registration opens at 9:00 a.m. The event will begin promptly at 10:00 a.m. and should wrap up no later than 3:00 p.m. Registrations will not be accepted at the door.

Register up to three individuals per county/joinder and let us know as soon as possible if attendance plans change.

Question Title

* 1. Membership in COMCARE is free, but completion of an annual membership form is required. If you're not sure you've completed your form for 2013, please contact Christie Ward at cward@pacounties.org.

COMCARE member

Not a COMCARE member, please bill us $60 per person

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* 2. Registrant #1

Name:

Title:

County/Joinder:

Email Address:

Phone Number:

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* 3. Registrant #2

Name:

Title:

Email Address:

Phone Number:

Question Title

* 4. Registrant #3

Name:

Title:

Email Address:

Phone Number:

Question Title

* 5. Please let us know of any special needs or dietary restrictions anyone in your group may have in the comment box below.
Questions can be directed to Christie Ward or Susan Horne at (800) 895-9039.

Question Title

* 1. Membership in COMCARE is free, but completion of an annual membership form is required. If you're not sure you've completed your form for 2013, please contact Christie Ward at cward@pacounties.org.

Question Title

* 2. Registrant #1

Question Title

* 3. Registrant #2

Question Title

* 4. Registrant #3

Question Title

* 5. Please let us know of any special needs or dietary restrictions anyone in your group may have in the comment box below. Questions can be directed to Christie Ward or Susan Horne at (800) 895-9039.

* 5. Please let us know of any special needs or dietary restrictions anyone in your group may have in the comment box below.
Questions can be directed to Christie Ward or Susan Horne at (800) 895-9039.