One Voice Against Cancer
Washington, DC
March 14-15, 2005
Be sure to fill out the entire form. To complete the registration process, please fax the form to 202-
661-5750 (attention Rebekah Chodoff) or email info@ovaconline.org. If you have any questions,
please call Rebekah at 202-585-3208 or email info@ovaconline.org.
Personal Information:
First Name:
Last Name:
Home Address:
City:
State:
Zip (zip+4 preferred):
(Enter HOME address, as it is necessary to coordinate congressional appointments.)
Telephone area code first:
Email:
(Email address will be used for all correspondence.)
Which cancer organization are you representing? International Myeloma Foundation
Have you ever attended an OVAC event?
Y/N
If yes, when?
Are you a: Cancer Survivor?
Caregiver?
Health care professional?
Meeting Information:
~Conference Hotel:
The Hamilton Crowne Plaza
14th & K Street, NW
Washington, DC 20005
Conference Meeting:
Almas Temple
1315 K Street, NW
Washington, DC 20005
Registration Deadline:
Friday, February 11, 2005
Registration Fee:
$30 (Please contact your organization regarding the registration
fee)
Date & Time:
Begins on Monday, March 14, 2005 at 11:00 AM
Concludes on Tuesday, March 15 2005 at 5:30 PM
~To make reservations at The Hamilton Crowne Plaza, please call 202-682-0111 (In-house reservations)
or 1-800-263-9802 (Central reservations) and mention One Voice Against Cancer.
Special Requirements:
Dietary Needs: Diabetic Vegetarian Shellfish Allergies Kosher

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