Span Ohio Workshop Registration Form

Span Ohio Fifth Annual Conference April 19, 2008 - Columbus, Ohio
	*required
First Name*
Last Name*
Address1*
City*
State*
Zip Code*
Daytime phone*
Evening phone
Email address*
Organizational Affiliation
Position in Organization
Workshop Preference*		What is a single-payer system? How does it compare to the Massachusetts plan and other alternatives?
		Main Provisions of the Health Care for All Ohioans Act.
		Developing an effective campaign to lobby members of the Ohio General Assembly
		Establishing new SPAN chapters and making existing chapters viable and successful
		How to make an effective presentation in support of the Health Care for All Ohioans Act
		Finding the money to fund the campaign to win voter approval of the Health Care for all Ohioans Act
		Publicizing the Health Care for All Ohioans Act through an effective media campaign

Lunch order*		Roast Beef Club on a Kaiser Roll
		Turkey Club on a Croissant
		Vegetarian Wrap
		Chicken Caesar Salad
Fees*	Registration Fee : $ Optional contribution to Span Ohio: $ Total amount to pay today : $ You will be directed to PayPal to complete the transaction.