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Heart Health Watch Party Registration Form
Join us for a catered dinner, special film screening and important discussion exploring Black American heart health and ATTR-cardiac amyloidosis (ATTR-CM). In-person and virtual attendance options are available.

Date: Monday, October 26, 2026
Arrival & Check-In: 5:30 p.m. ET
Program: 6:30 p.m. ET
Location: NBNA National Headquarters, 8630 Fenton Street, Suite 910, Silver Spring, MD 20910
Contact Details:
Full Name

First NameLast Name
E-mail
example@example.com
NBNA Membership/Affiliation
NBNA Chapter If Applicable
Organization/Affiliation (if not affiliated with NBNA)
Do you plan to attend in person or virtually?
Do you have any dietary restrictions or food allergies?
How did you hear about this watch party?
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