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We look forward to meeting you on April 24, 2007 at 7:00 PM at UVa Alumni Hall
on Emmet Street for our special event.  To complete your reigstration, please
fill out the form below. You will receive a reminder by e-mail and we may contact you the week prior to the event to confirm your participation. *Please note that
an answer is required in all fields.  Thank you.

Please include a phone number where we can reach you after 2:00 PM on the day of the event in case we must postpone our gathering for any reason.

Please note that this information will be used only to send you an event reminder or to provide you with information related to health issues and health events hosted by the UVa Health System.  We never sell or lease your e-mail address for use by any other organization, and you may unsubscribe at any time by writing us at UVa Health System Marketing Communications, Box 800224, Charlottesville, VA. 22908-0224

The UVa Health System provides consumer information on a variety of health and safety topics.  Just check off any you might be interested in receiving, and we will have a customized packet ready for you at the event.

CANCER CARE*
HEART CARE*
UVa CHILDREN'S HOSPITAL & OTHER*
Thank you.  We will have the information sheets you requested ready for you on the evening of April 24.