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2007 CONSUMER CONFERENCE

                        "WHO YA GONNA CALL?"

CRISIS PLANNING: YOUR NEXT STEP TOWARDS WELLNESS AND INDEPENDENCE

 

Tuesday, October 9, 2007

Charlotte Merchandise Mart-Freedom Hall

9:00am-3:00pm

Lunch will be provided!

 

Registration Form

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Please Circle Registration for:         Consumer            Family Member

Please Note Special Needs:     Hearing Impaired______     Wheelchair_______     Other______________________________________________

Print Name: _______________________________________________________________________________________________________________

Your Provider Is: ___________________________________________________________________________________________________________

Emergency Contact Person and Phone: ________________________________________________________________________________________

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Registration forms will be accepted until Friday, September 28th, 2007 via mail or fax to:

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Conference Coordinator

429 Billingsley Rd.

Charlotte, NC 28211

Fax: 704-336-7718

Phone: 704-336-6027

 

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Mecklenburg County Area MH, DD, SA Authority

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