Hemophilia of North Carolina

Hemophilia of North Carolina

Since 1977, in service to the people of North Carolina
affected by bleeding disorders

PO Box 70, Cary, NC 27512 — 1-800-990-5557 (toll free)

HNC Annual Meeting

Saturday, May 31, 2008
Lawrence Joel Veterans Memorial Coliseum Complex
Windsor Club
Winston-Salem, NC

 HNC Annual Meeting
Family Registion  

   First  Last
 (*) Name:
 (*) Address:
 (*) City:  (*) State:  (*) Zip:
 Home ph:  Cell ph:
 (*) Email:
 Attending
(*) Meeting 		 (*) Number of Adults:  (*) Number of Children:
   Ages of children attending:
 (*) Indicates required information
   Interested in attending the race at Bowman Gray Stadium:
   Adults#:  Children (ages 6-11)#:
   Interested in the outing to the Game Frog Cafe:
   Children (ages 10-17)#:  List names and ages below:
 

When you click on "Send Registration" above, your information will be sent by email to HNC at info@hemophilia-nc.org. In a few days HNC staff will send a confirmation to the email address you specified above. Hemophilia of North Carolina will never share, give or sell your name, address or health-related information to any other organization, company or individual without your express permission.

If you prefer, you may download a printable information and registration form* and return the completed form by mail or fax.

Return to the 2008 HNC Annual Meeting information page.

(*Adobe Acrobat Reader is required.)