2024 Rally for Medical Research Participant Sign-Up

General Information

Registration Deadline: September 4, 2024

2024 Participant Guidelines

Website

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* 1. Please enter your full name

First Name

Last Name

Suffix (MD, PhD, Jr., Sr., etc.)

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* 2. Business Name / Organization (if applicable)

Title/Role (if applicable)

Affiliated Organization

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* 3. Please provide your home address.

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

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* 4. Please provide a contact number in order to reach you while in Washington, DC with any day-of-the-Rally changes.

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* 5. Email Address

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* 6. Please provide your business address.

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

Phone Number *

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* 7. Have you participated in a Hill Day before?

Yes

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* 8. What events will you participate in during the 2024 Rally for Medical Research?

Rally for Medical Research Training (3:00 pm - 5:00 pm Wednesday, September 18) Holiday Inn Washington Capitol, Washington, DC

Reception to Celebrate Medical Research (6:00 pm - 8:00 pm Wednesday, September 18) Capitol Hill, Washngton, DC

Rally for Medical Research Breakfast (7:00 am - 9:00 am Thursday, September 19) Holiday Inn Washington Capitol, Washington, DC

*Please note that attendance at both the Rally for Medical Research Training and Breakfast is highly recommended, especially for first-time Rally participants.

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* 9. Are you interested in hotel accommodations in Washington DC for the Rally for Medical Research?

Yes

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* 10. Do you have any special relationships with House or Senate offices?

If yes, list office(s).