Register for Conference organized by the Greater Brooklyn HealthCoalition

Conference Registration

Fall/Winter 2009 General Membership Meeting - Brooklyn Health: Bedford-Stuyvesant

2009-12-10, 1:30pm - 4:00pm

Concord Baptist Church
833 Marcy Avenue 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