RSVP for the 2020 CARE Annual Member Meeting

General Information

Will you attend the 2020 Annual Member Meeting, Jan 24-26, 2020? *

Yes

No

Member First Name *

Member Last Name *

Pharmacy Name *

Email *

Mobile Phone Number *

May we send text messages with meeting information to this number? *

Yes

No

Home Address *

Home Address

Address Line 1

Address Line 2

City

State/Province

Zip/Postal

Guest Information

Do you plan to bring additional guests?

Yes

No

How many guests?

Guest 1

Please list spouse, children or other guests that will be traveling with you to the CARE Member Meeting.

Is guest staff or family?

Guest Title

Guest Relationship

Is guest at least 18 years of age?

No (please list age)No (please list age)

Yes

Guest First Name *

Guest Last Name *

Guest 2

Please list spouse, children or other guests that will be traveling with you to the CARE Member Meeting.

Is guest staff or family?

Guest Title

Guest Relationship

Is guest at least 18 years of age?

No (please list age)No (please list age)

Yes

Guest First Name *

Guest Last Name *

Guest 3

Please list spouse, children or other guests that will be traveling with you to the CARE Member Meeting.

Is guest staff or family?

Guest Title

Guest Relationship

Is guest at least 18 years of age?

No (please list age)No (please list age)

Yes

Guest First Name *

Guest Last Name *

Guest 4

Please list spouse, children or other guests that will be traveling with you to the CARE Member Meeting.

Is guest staff or family?

Guest Title

Guest Relationship

Is guest at least 18 years of age?

No (please list age)No (please list age)

Yes

Guest First Name *

Guest Last Name *

Guest 5

Please list spouse, children or other guests that will be traveling with you to the CARE Member Meeting.

Is guest staff or family?

Guest Title

Guest Relationship

Is guest at least 18 years of age?

No (please list age)No (please list age)

Yes

Guest First Name *

Guest Last Name *

Rooming Information

CARE will pay for one room per member location on Friday and Saturday nights. Room Reservations will be managed by Kathy Riddle on behalf of CARE Members. Any issues or questions should be directed to Kathy at [email protected]

Anticipated Arrival Date *

Anticipated Arrival Time *

Anticipated Departure Date *

Anticipated Departure Time *

Bed Preference *

Additional nights will be billed at the CARE discounted nightly rate of $199 per night to you at checkout.

Do you need adjoining rooms?

Yes (If so, for how many people?)Yes (If so, for how many people?)

No

Dining and Food Options

Do you or your guests have any food allergies or dietary restrictions? *

No

Yes (please list name of person and explain, i.e. allergies, Kosher, etc.)Yes (please list name of person and explain, i.e. allergies, Kosher, etc.)

Will you be attending Saturday evening’s dinner event? *

No

Yes

If yes, will you be bringing a guest to Saturday’s main dinner event?

No

Yes (guest name)Yes (guest name)

CARE pays for member and one adult guest (over 16) per member location. There will be a separate dinner provided for additional guests and family.

Comments or additional requests?