Georgia Transplant Foundation

The Savannah TNT Conference is Free for Transplant patients and one guest.

Please fill out the form below by Monday, March 23 to register to attend the Savannah TNT conference.  The conference is free for dialysis patients, and pre- and post-transplant patients, and includes lunch for you and a guest. Registration is required.

If you are human, leave this field blank.

Please confirm the conference you are registering for: * Savannah Macon Atlanta

Title * Mr. Mrs. Ms. Dr. Other Title

First Name *

First

Last Name *

Last

Address *

Address

Street Address

Street Address

Address

City

City

State

State

Zip

Zip

Phone Number *

Email Address *

Transplant Status * Candidate Recipient Living Donor Other Transplant Status

Date of Transplant

Organ * Kidney Kidney/Pancreas Heart Lung(s) Liver Other Organ

Transplant Center * Piedmont Healthcare Emory University Hospital Augusta University Health Children's Healthcare of Atlanta Other Transplant Center

Please select your transplant center

How many people will be attending the conference? * 1 2 3 4

If you are coming alone, please put 1. The conference is free and includes lunch for you and a guest.

Is this your first time attending a TNT conference? * Yes, this is my first one No, I've been to a previous TNT

How did you hear about the TNT Conference? * Social Worker/Doctor at my Transplant Center At my Dialysis Center Postcard/Magazine GTF Staff/Volunteer/Mentor Friend/Family Member Other How did you hear about the TNT Conference?

Please select the answer that best describes how you heard about the conference.

Are you Interested in the Mentor training?

Yes

No

Not Sure