Ashtabula County Arthritis Expo

Wednesday, August 29, 2012
8:30 a.m. - 3:00 p.m.


Location:    Spire Institute
     1822 South Broadway
     Geneva, OH  44041

* required information
Registration 
Free program. Community exhibits. Lunch available for $5 (payable at lunchtime).
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Business Phone:
Phone:
Including yourself, enter the number attending in your party:*
Do you have arthritis?: Yes
No
Prefer not to answer
What type of arthritis affects you the most?:
I'm interested in being an Arthritis Foundation advocate: Yes
No
Email:
May the Arthritis Foundation share your name with other organizations/sponsors?: Yes
No
How did you hear about this event?:*
Fees
$0.00 Free program
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