the brochure

Registration details inside.
Conference Registration: Your $150 conference
registration fee includes Monday Welcome
Reception, Conference, Tuesday Breakfast and
Congressional Reception
The group name is Medical Association of the
State of Alabama. Use Group Code JK8 when
reserving your room online at washington.
intercontinental.com.
Call (888) 424-6835 to reserve your room at the
Willard InterContinental. The single, double,
triple or quad occupancy rate is $279 nightly.
Hotel Reservations: Deadline to book a room is
Jan. 4, 2016.
19 S. Jackson Street
Montgomery, AL 36104
Montgomery, AL
Permit No. 417
PAID
PRESORTED
STANDARD
U.S. POSTAGE
Medical Association
of the
State of Alabama
2016
Governmental Affairs
Conference
February 1-February 3, 2016
ABOUT THE CONFERENCE
Make plans to join your colleagues
in Washington at the Medical
Association’s 2016 Governmental
Affairs Conference.
Protecting and promoting medicine’s
interests on Capitol Hill is a neverending responsibility that requires
participation from physicians across
all specialties. This is particularly true
considering the magnitude of the
health issues confronting Congress.
Due to the Congressional schedule,
the format of the 2016 Governmental
Affairs meeting has been changed in
order to increase participation from
our Senators and Representatives.
Under the new format, meetings will
begin late Monday afternoon and
will conclude mid-day Wednesday.
For those arriving early to enjoy D.C.,
rooms will be available under our
block at the discounted rate.
LET YOUR VOICE BE HEARD IN
OUR NATION’S CAPITOL!
Medical Association’s Governmental
Affairs Conference will provide
you this opportunity! During the
conference, you will have the chance
to personally meet your Senator
and Representative and be able
to engage in discussions with them
regarding medicine’s legislative
agenda.
TRAVEL ARRANGEMENTS
Willard InterContinental Hotel
Washington, DC
Make your reservations directly
through the Willard InterContinental
Hotel by calling (888) 424-6835
or online at www.washington.
intercontinental.com. Use our Group
Code JK8 to reserve your room at
the discounted rate. Hotel booking
deadline is Jan. 4, 2016.
TENTATIVE SCHEDULE
Sunday, January 31, 2016 (optional)
• Travel to Washington, DC
Monday, February 1, 2016
• Morning free for sightseeing
• President’s Forum – 5 p.m.
• Welcome Reception – 6:30 p.m.
• Dinner on your own
2016 GOVERNMENTAL AFFAIRS CONFERENCE
Registration Fee: $150
Includes Monday Welcome Reception, Conference, Tuesday Breakfast and Congressional Reception
CHOOSE YOUR EVENTS
Please indicate NUMBER of reservations you will need:
________Monday Welcome Reception
Tuesday, February 2, 2016
• Breakfast – 7:30 a.m.
• Breakfast Briefing and Issues
Update – 8 a.m. to 12:15 p.m.
• Capitol Hill Visit – 2 p.m.
• Congressional Reception with
Alabama Delegation – 6:30 p.m.
________Tuesday Conference
Wednesday, February 3, 2016
• Visit with your Representative and
Senator in their offices
Name (Please Print)
Registration Fee – $150
(includes Monday Welcome
Reception, Conference, Tuesday
Breakfast and Congressional
Reception)
All times are tentative. Final agenda
will be provided at a later date.
________Tuesday Breakfast
________Tuesday Congressional Reception
MAKE YOUR RESERVATIONS
Home Address
City, State & Zip
Email (Please Print)
Phone
Name as you would like it to appear on name badge
Guest’s name as it should appear on name badge
Are you representing a Society? If so, please print Society name
PAYMENT AND HOTEL INFORMATION
Payment: $_______________ ($150.00 per person attending ANY event)
GOVERNMENTAL AFFAIRS
19 S. Jackson Street
Montgomery, AL 36104
(334) 954-2500 or (800) 239-6272
Fax (334) 269-5200
Find us online at
www.alabamamedicine.org
q Check (Please make check payable to the Medical Association of the State of Alabama)
q VISA
q MasterCard
Credit Card Number
q American Express
q Discover
Security Code
Expiration Date
Signature
Reservations should be made directly through the Willard InterContinental Hotel by calling (888)
424-6835. The double or single occupancy rate is $279 nightly for single, double, triple or quad
occupancy. The Group name is Medical Association of the State of Alabama. Please use Group
Code JK8 when reserving your room online at www.washington.intercontinental.com. The hotel
booking deadline is Jan. 4, 2016. Details regarding exact meeting agenda, times and locations
will be provided later to all registrants.