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Columbus Adult Vision Screening/HealthyEyes Training
Monday, November 5, 2018, 8:30  am to 12:30 pm
Columbus Medical Association offices at 1390 Dublin Road in Columbus

Registration

Thank you for your interest in attending the Adult Vision Screening/Healthy Eyes Training  on Monday, November 5, 2018, 8:30 am to 12:30 pm. 
It will be held at the Columbus Medical Association offices at 1390 Dublin Road in Columbus, Ohio.
Please feel free to contact me if you have questions.

Thanks,
Stephanie Koscher 
800-301-2020 ext. 115
stephaniek@pbohio.org
1.First Name
2.Last Name
3.E-Mail Address
4.Phone Number
5.Organization
6.Job Title or Volunteer Role
7.Street Address
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12.I have attended Adult Vision Screening?HealthyEyes Training in the past.