AHA Annual Meeting 2023 Attendance

Please complete your attendance and other members from your facility for the AHA Annual Meeting, congressional visits and IHA events in Washington, DC April 23-25, 2023.

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* 1. Contact information of CEO or senior staff attending the AHA Annual Meeting and Congressional Visits.

First Name:

Last Name:

Organization:

City/Town

Job or Position Title

Email Address:

Phone Number

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* 2. Are you registering for the AHA Annual Meeting?

Yes, I'm registered.

Yes, I will be registering.

No. Not attending AHA Annual Meeting, just attending congressional visits.

Comment:

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* 3. Are you attending the Luncheon and Briefing on April 25 at 11:00 am? The congressional visit schedule and topics will be reviewed for those attending congressional visits. Lunch will be provided by IHA.

Yes, I would like to attend.

No, I will not be able to attend.

Comments:

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* 4. Are you attending congressional visits on April 25? Senator and representative dates/times/location to follow closer to the date.

Yes, I would like to attend.

No, I will not be able to attend.

Comments:

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* 5. Are you attending the complimentary Iowa Hospital Association (IHA) "Dinner" Monday evening, April 24? Location to be determined.

Yes, I would like to attend.

Yes. I would like to bring my spouse/significant other or child. List full names and relationship in comment section.

No, I will not be able to attend.

If yes, please list additional family member first and last name along with relationship of family members attending the dinner only (no other meetings):

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* 6. Do you have others from your facility (executive staff or trustees) joining you in Washington, DC?

Yes, I will provide their names and information on the next page.

No, it will just be me in attendance.

Comments: