Registration Form

Our next meeting is Thursday Feb 16, 2012 at
CIGNA University Learning Facility
1350 Hall Boulevard
Bloomfield, CT 06002 from 9:00am to noon

Registration will be until 4:00pm on Wednesday, Feb. 15th or until all seats are full. If you register, and later find you cannot attend, please cancel your registration. Refreshments will be served beginning at 8:30.

Our Host will be Jessica Hampton


Jessica Hampton

CIGNA HealthCare
(860) 226-1938



www.cigna.com

Please Note:  Names and affiliations are collected in order to pre-register attendees in case we need to provide you with a temporary security badge. We also need a head count so that adequate refreshments may be provided.   The email and telephone number is collected in the event that inclement weather or other circumstances require the HASUG Steering Committee to contact you.  Please register each attendee individually.   If you have any questions for our host please feel free to type them in the comments area.

Name:
Email Address:
Telephone Number:
Affiliation:
  I am planning to join the Steering Committee for lunch at my own expense

Comments:

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