The Charlotte Festival & Walk is April 27, please donate today and join us!
X
Donate
919-319-0014
Donate

2022 Advocate Gathering Registration Form

Your Contact Information

BDFNC will contact you at this address to confirm your registration request.

Persons Attending

Please note which adult(s) have the bleeding disorder.

Industry Affiliation

Food Delivery Service

Please specify which food delivery service you wish to use.
Note: Gift cards are available only to BDFNC consumer members who live in North Carolina or receive care at a North Carolina treatment center. Persons employed by a pharmaceutical company, specialty pharmacy or home care company, or who work for a bleeding disorders treatment center are not eligible.

Zoom Privacy Policy Agreement

Click here to view the full policy statement

Photography Permission

Attendance Policy Agreement and Waiver

Click here to view the full policy statement
Click here to view the full waiver statement

Comments