Skip directly to search Skip directly to A to Z list Skip directly to navigation Skip directly to site content Skip directly to page options
CDC Home

Winter 2014 TAC Meeting and Tribal Consultation Session Registration Form

To register to attend the Winter 2014 TAC Meeting and/or 10th Biannual Tribal Consultation Session on February 18-19, 2014, please complete all sections below and click “Register” to submit. Registrations will be accepted until January 29, 2014. If you have any questions, please contact TribalSupport@cdc.gov.

Note: All attendees, including CDC/ATSDR employees and other federal employees, must pre-register using the form below by January 29, 2014. Non-federal attendees who fail to pre-register will be denied access to the CDC campus. 

Register

Please fill out all of the fields below. If you have questions, please contact tribalsupport@cdc.gov.

Contact Information

i.e. MD, JD, MPH, USPHS Rank, etc.
Please list enrolled membership first.
Ex: (444) 444-4444
Ex: (444) 444-4444

For validation purposes. A confirmation email and meeting information will be sent to this address.

Professional Affiliation

I Plan To Attend*:

 

Tell us what you think!
Contact Us:
  • Office for State, Tribal, Local and Territorial Support
  • Centers for Disease Control and Prevention
  • Mailstop: E-70
    4770 Buford Highway, NE
    Atlanta, GA 30341
  • Email OSTLTS
  • Page last reviewed: December 20, 2013
  • Page last updated: December 20, 2013
USA.gov: The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Rd. Atlanta, GA 30333, USA
800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 - Contact CDC-INFO