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Coffee, Conversation & Breast Health
Date
: Thursday, September 10
Time:
10:00am-12:00pm
Location:
iCare office - 1555 N RiverCenter Drive, Milwaukee WI. 53212
Please register by filling out this form or by calling iCare Customer Service 800-777-4376
*
1.
What is your first name?
(Required.)
*
2.
What is your last name?
(Required.)
*
3.
What is your date of birth?
(Required.)
*
4.
What is your preferred phone number?
(Required.)
5.
Flu shots will be available at the event. Would you like to get a flu shot?
Yes
No
Maybe
