Thank you for registering for this TELUS Health event.

 Please complete the information below to confirm your registration. We look forward to hosting you.

Date:  Thursday, November 29, 2018
Location: Surrey City Hall | Centre Stage | 13450 104 Ave
Time: 6:00 PM to 8:00 PM

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* 1. Will you attend the TELUS Health Screening of Painkiller?

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* 2. Please provide your contact information to RSVP:

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* 3. If you are bringing a guest, please provide their name below: