GLENDALE TISSUE DONOR AWARENESS PROJECT (TDAP)
Offered by Arizona Myeloma Network and
Sponsored in part by a Grant from the John C. Lincoln Foundation
Registration Form for Tissue Awareness Workshop
September 26, 2009
Glendale Community College, Student Union Building
6000 W. Olive
To register online, please fill in the following form online.
You may also fax this information to 623-243-6580 or mail to:
Arizona Myeloma Network (AzMN)
20280 N. 59th Ave. Suite 115 #448
Glendale, AZ 85308
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Saturday, September 26, 2009
from 9:30 a.m. – 12:30 p.m.
Registration: 8:30 – 9:30 a.m.
Glendale Community College
Student Union Building
Glendale, AZ
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IF YOU ARE UNABLE TO ATTEND, PLEASE INDICATE IF YOU ARE INTERESTED IN LEARNING ABOUT FUTURE PROGRAMS:
YES
NO
We encourage you to register early as space is limited. If after registration you cannot attend, you must submit your cancellation request in writing by the Tuesday prior to the workshop for which you registered.
