Pennsylvania Health Funders Collaborative

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Oct 29, 2013 (4 years and 9 days ago)

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Pennsylvania Health Funders Collaborative


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1

of 2


PHFC 201
3

CONFERENCE

REGISTRATION FORM


To
register

for the

7
th

Annual PHFC Meeting on October 2
nd

and 3
rd

at the
Harrisburg

Hilton Hotel,
please complete the steps listed below
by
Friday
, September

13
th

(
and
please reserve a hotel room by September 10
th
).

1.

To make a

hotel reservation

at the
Harrisburg

Hilton Hotel

by
Tuesday, September
10
th
, please call 1
-
800
-
HILTONS
or use the link
below
.


The code for the group rate of $
1
4
9

plus
tax on the evening of October 2
nd

is
HEALTH
.
Each attendee is responsible fo
r paying for their
hotel room.

a.

http://www.hilton.com/en/hi/group
s/personalized/M/MDTHHHF
-
HEALTH
-
20131002/index.jhtml?WT.mc_id=POG



2.

The
conference fee

is $250 per person.
This rate will cover meals, libation at hosted events, conferenc
e room, and speakers’ expenses.
P
lease make the check payable to the Jewish Healthc
are Foundation
, and
please
mail
the check to Nancy
Zionts, Jewish Healthcare
Foundation, Centre City Tower, Suite 2400, 650 Smithfie
ld Street, Pittsburgh, PA 15222.

If you would like an extension, please let Robert
Ferguson know via
ferguson@jhf.org
.


3.

Please complete and return the form below to Robert Ferguson, Jewish Healthcare Foundation via e
-
mail at
ferguson@jhf.org
.


Foundation
:


Names and titles o
f
thos
e who are attending the
presentation and dinner
at
the
Harrisburg Hilton Hotel on 10/2/13 from 4
:00
pm to 8
:00
pm
:



Names and t
itles of those who are attending the annual meeting at the
Harrisburg
Hilton
Hotel on 10/3/13 from 8:30am to 4:00pm
:



Special
needs, arrangements, and requests (e.g. food allergies):


Geographic
focus of the foundation

(
please list the c
ounties)
:



Pennsylvania Health Funders Collaborative


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Health
funding priorities of the foundation
(
please list the d
omains)
:



Current
grants and
projects of the
foundation

Long
-
Term
Living



Medicaid



Health Insurance Marketplace



Integrating Behavioral and Physical Health

Care



Other





Areas
that your foundation would like PHFC to focus on in 2013 and 2014: