Sign up to share room or ride for conference

Fill out this form to be added to a page on the AHCJ Web site for people wishing to share a room or transportation at Health Journalism 2011.

Please keep in mind that the information you submit on this form will appear on the AHCJ Web site, though the page will require AHCJ members be logged in to see it. It may take up to a day for your information to appear on the Web page.

Fields marked with an asterisk are required.

*Your name:

*Your e-mail:

Organization:

Phone:

*Message
Describe what you want to share and any details: