The Ontario Health Coalition Presents a
We have a new governmentits time to:
Saturday November 22, 2003
Registration Form Health Action Assembly, Saturday, November 22
Contact Name:
Organization:
Contact Address: Number of people attending:
(Please add any additional names):
City/Province: Postal Code:
Phone (daytime): Phone (evening): Fax: E-mail:
Registration fee ($0-$35 per person, pay-what-you-can) collected to help offset costs of meeting. As soon as you register,
we will be sending you a full assembly kit. Please send your form to:
Ontario Health Coalition, 15 Gervais Drive, Suite 305, Toronto, Ontario, M3C 1Y8
Fax: 416-441-4073 E-mail:
ohc@sympatico.ca Phone: 416-441-2502For Office Use Only
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