ADRC Event Signups

Signup for Event:

Healthy Living with Diabetes - November 6-December 11, 2017 12:30-3:00pm

Location: Grace Lutheran Church, 202 W Grand Ave. Eau Claire.

Please fill in the information below and choose payment option. Thank you
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   Last Name*:

Address*: City, State, Zip*:

Phone*:    Email:

How did you hear about the event?
Website Facebook Flyer Friend ADRC Newsletter
ADRC Employee TV Radio Newspaper Other
 

Accomodations requested?
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 (If yes, someone from ADRC will contact you)

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