Register for the Menopause and Your Health Program

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Menopause and Your Health

To register for the 2007 Menopause and Your Health Program, please print out this form and fill out the fields below. Mail this page with your $25 Check to MGH Menopause Program to:

MGH Menopause Program

Massachusetts General Hospital

GRB 1034

55 Fruit Street, Boston, MA 02114-2698

Attn: Mary Ellen Heike

Please register me for the Menopause and Your Health Program

Name (please print)

How would you like your confirmation sent? (Check email or mail)

E-MAILmy email address

MAILmy mailing address

town/city state zip code

Date of program you are signing up for::

Thursday, March 29th, 5:00 to 7:30 pm
Tuesday, May 8th, 6:00 to 8:30 pm - Mass General West, Waltham
Tuesday, June 5th, 5:30 to 8 pm
Tuesday, Sept. 25th, 5:30 to 8 pm
Wednesday, Nov. 7th, 5:00 to 7:30 pm

All programs are held in the Yawkey Center for Outpatient Care at Massachusetts General Hospital unless otherwise noted.

Once filled out, please print this page and mail to the address above. Click here to Print This Page.

For any questions about the program or for more information about scholarships, please contact Mary Ellen Heike at mheike@partners.org or at
617 724-8044.

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