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Sign up for the November 15, 2011 Grand Rapids meeting:

Last Name:
First Name:
Title:
Organization:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Nurse CE:(SS#)
SW CE: (SW ID#)
Check will be mailed:

REMINDER: Payment due November 8. Make check for $90.00 payable to Lansing Community College.
Meal(s): I require a vegetarian meal.
Additional Info:
NOTE: IF YOU DON'T RECEIVE A CONFIRMING EMAIL WITHIN 5 DAYS, EMAIL  MATT BEHA AT BEHAM@LCC.EDU OR CALL 517/483-1529.
 

Mental Health and Aging Project at Lansing Community College

Mental Health & Aging Project
Phone: (517) 483-1529
Additional contact information »