AAII Eastern Michigan Chapter

 Advance  Registration for Dr. Marvin Appel

Name___________________________


Email:__________________________


Phone: (_____)___________________


Family/Guest Name(s):

 
_______________________________

Email: _________________________

Total # of Attendees: ____________

Total Fees:                $___________

Please indicate any ADA disability needs:

_______________________________

_______________________________


NO REFUNDS:
In case of cancellation, advance
registrants will attend the next
presentation free.

Presentation Speaker    /     Date

Dr. Marvin Appel / September 28, 2021
____________________________________



Acting Registrar:

Bruce Judycki
37080 Condor Ct.

Westland, Mi, 48185 or:

Email to: dabrucefdx@yahoo.com






In Advance:
Everyone: No charge meeting


At the door:
Not Applicable

Registrants/Total Fees:

Number attending _____