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ABC'z of Brain Support Reservation

ABC's of Brain Support is free.*

Please complete the form below. This information is needed to reserve a seat at the upcoming seminar. Seating is limited and reservations are required.

ABC'z of Brain Support will be held on Saturday, December 5, 2009:

  • 10:00 - 11:00 AM
    Dr's Lounge at SUMA MRI
    604 N Lilac Dr, Golden Valley, MN 55422.
  • 1:00 - 2:00 PM
    Three Smooth Stones
    3336 E 25th St, Minneapolis, MN 55406

*If you are interested, we will be accepting tax deductible donations for HIASA, a 501-c-3 non-profit corporation dedicated to advancing brain health. Suggested donation - $50.

I want to attend the following session:

10:00 - 11:00AM at the Dr's Lounge

1:00 - 2:00 PM at Three Smooth Stones

I want to make reservations for people to attend.

First Name
Last Name
E-mail
Address
Unit (Apt., Suite)
City
State
Zip Code
Phone  -   - 

Thank you for interest in attending the ABC'z of Brain Health Saturday Seminar.


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