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JCHA ACTIVITY REGISTRATION FORM
Thursday, March 11
Networking Meeting
6:30
p.m.
Woodlands Park | Medical
Arts I
6375 Hospital Parkway
Johns Creek, GA 30097
New Medical Office Building
located adjacent
to Emory Johns Creek Hospital
http://www.woodlandsparkgeorgia.com/index.asp
Hosted and Sponsored by
Attendee Name
(one name per
registration)
Practice/Company Name
E-mail (req.)
I
am a JCHA Member, or am coming in place of a JCHA Member - NO FEE
I
am a JCHA
Annual Sponsor (no table displays due to space restrictions) -
NO FEE
Non-Member
/ Non-Sponsor Meeting Attendee - $25 REGISTRATION FEE
(Submit this registration
form and follow instructions on next page to pay the registration fee) |
