Healthy Respect

Program Reach Cocktail Party:

Please join us on March 22, 2012 from 6:30-8:30 at the Union League Club

 

cparty

 


To register, please contact Maya Cernotova at:

ph: (718) 409-0800, by email at mcernotova@programreach.org or use the form below. Once you are registered, please use the donate button to complete your payment to pay by credit card, or send your check to 3250 Westchester Avenue, Suite 202, Bronx, NY 10461.

The cost for the event is $150 per person. ($60 of which is tax deductible)

Thank you.

 

Attendee Information
First Name *
Last Name *
Email *
Phone *
Number of individuals attending event *
Names of individuals attending the event other than yourself (please use a comma to separate each attendee)

 

 

3250 Westchester Avenue, Suite 202, Bronx, NY 10461  |  ph: (718) 409-0800  |  fax: (718) 409-1081  | info@healthrespect.org