Register for Conference organized by the Greater Brooklyn HealthCoalition

Conference Registration

General Membership Meeting

2006-09-27, 9:00am - 11:00am

Brooklyn Borough Hall
209 Joralemon Street 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