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Registration
New York City Disabilty Voices:
A Community Conversation
June 1, 2005 9:30 am to 3:00 pm
The Marriott at the Brooklyn Bridge
333 Adams Street, Brooklyn, NY
Registration begins at 9:00 am

 
Name:
  
 
Address:
  
 
City:
 ST: ZIP:  
 
Daytime Phone:
Evening Phone:
Fax Number:


 
 
E-Mail Address:
 
 
Organization (if any):
 
 
 
 
 

Print our FAX OR MAIL registration form

 

       
 
          
           
           
           

 

           
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Partners Disability Coalition building bridges for better lives