CCMS 2020 Annual Meeting Registration CCMS 2020 Annual Meeting Thursday, April 30 Maryhill Winery Tasting Room Please join us at the CCMS 2020 Annual Meeting, 6pm – 9pm, for a hosted reception, wine tasting, and annual business meeting. Name* First Last Preferred first name for badgeGroup /Clinic NameAddress Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail* Optional Food Preferences My food preference is vegetarian My food preference is vegan My food preference is gluten free I will be bringing a guestYesNoIf yes, please provide guest's name: Spouse Name First Last Registration Type*CCMS Member (any paying member)ResidentNon-member, $20 per personThere is no charge for active CCMS members to attend the CCMS 2020 Annual Meeting. Non-members are encouraged to attend. Tickets are $20 per person. Please bring cash or check with you, we do not accept credit cards at this time. INQUIRIES: Contact Emily Jones, CCMS Executive Director, at 206-956-3621 or email@example.com.