Register to attend On the Move

On the Move 2013

Thursday, March 14, 2013
Fairlane Center North, University of Michigan-Dearborn

Please provide the following information:

Participant Name*

Email Address*

Street Address

City

State

Zip

Phone*

Referring Organization

Organization Contact Person

Check the following:

Yes, I would like to participate in On the Move (OM) on Thursday, March 14, 2013 (8:30 a.m. to 2:30 p.m.)

You will receive information about:

I would like to know more about:

Please list any special needs you have:

Diet

Access