IL Advocacy Day

Illinois Advocacy Day, Wednesday, March 25th!

This is your opportunity to advocate directly with your elected officials and for the bleeding disorder’s community of Illinois. Sharing your story with legislators is an important and an easy way to be part of the solution to the challenges facing the bleeding disorders community. Register by March 1.

Please contact us if you have any questions at info@GatewayHemophilia.org.

GBD and BDAI's Illinois Advocacy Day is designed for individuals and their families living in Illinois affected by bleeding disorders. We will offer training over dinner on Wednesday, March 25 in Springfield, IL.

Last Name*
First Name*
Please list the names of anyone else attending with you below.
Street Address*
You MUST list your Home Address to ensure we contact the appropriate representative.
City*
State*
Zip Code*
PLEASE PROVIDE THE 4-DIGIT ZIP EXTENSION.*
If you do not know your 4-digit zip extension, visit https://tools.usps.com/zip-code-lookup.htm
Email*
Phone Number*
What kind of insurance do you have? (Your answer is optional. Knowing this information allows us to be informed and better advocates for our community.)*
Type of Community Member (Please check all that apply, hold the shift key to choose multiple answers):**
If selecting more than one choice, hold the Ctrl button while selecting.
Please Indicate Type of Bleeding Disorder (if you are a consumer or caregiver):**
Chapter Affiliation:
If selected "Other" for Chapter Affiliation, please write your organization name below.
Are you attending the Advocacy training dinner on Tuesday, March 24 at 6:30 p.m.?*
If you have any food allergies or dietery restrictions please let us know in the space below.
Do you know any representatives that have an affiliation with or an interest in Bleeding Disorders? If so, please list below.
We appreciate you attending Advocacy Day. GBD and BDAI are using our resources and funding for you to participate at IL Advocacy Day. Representing your personal interests may cause mixed messaging. You can schedule another meeting outside of the Advocacy Day for other topics. While representing the GBD and BDAI, you agree to stay on topic and NOT use this as an opportunity for your own personal advocacy agenda.*
If you are traveling over 50 miles one way to Springfield, we are offering a gas card for non industry Gateway Bleeding Disorders Association or Bleeding Disorders Alliance Illinois consumer members. Please select an option below.*