Register for Conference organized by the Greater Brooklyn HealthCoalition

Conference Registration

Winter 2009 General Membership Meeting - Brooklyn Health: East New York

2009-03-25, 1:30pm - 4:00pm

New Lots Library
665 New Lots Ave. at Barbey St. Brooklyn

First Name

Last Name

Title

Company or Organization

Address

City

State

Postal Zip Code

Phone

E-Mail

Dietary Restrictions

Comments

Enter Sessions to Attend:

Morning Session

Afternoon Session

OR Fax this form to GBHC: 718-703-7210

Registrant Info:

To Register by phone, call
(718) 462-8654 ext. 293
info@brooklynhealth.org