Dominican American Communitarian Association,Inc,NJ aqui formulario como registrarse para ofrecer servicios. gracias Dr.Restituyo

1. Dominican-American Communitarian Association Inc.
DACANJI &HISPANIC HEALTH PROFESSIONALS ASSOCIATION,
INC, NY
Feria de la Salud
XIX Annual Community Health Fair “Decide to Be Healthy”
Location: Dr. Herbert Richardson School
318 Stockton St, New Jersey 08861
Confirmation Form
You are invited to attend one of Middlesex County’s most invigorate Annual Community Health Fairs, “Decide to
Be Healthy” with the participation of local hospitals; agencies, foundations, associations over 25 medical
screening services, more than 75 community-based organizations; cultural activities; and more than
1,00participants. 19 years saving lives!!!
Date: Sunday, June 21, 2020. Time: 9:00 A.M. to 3:00 P.M.
Dr. Aritmedes . Restituyo (732) 277-964
www.ahpsi.org/fax: 732-725-0868.
Please Complete this Form and Return by Friday, May 22 , 2020
o Yes, I will attend o Health Related Services
o No, I will not attend o Mini Conference
o Need Table and Chairs
o Need Electrical Outlet
o Education
o Cultural Entertainment
o Mobile services
What are your Requirements?
Name: _______________________________________________________________________________
Contact: _____________________________________________________________________________
Address& Phone/E-mail:
_____________________________________________________________________________________
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