October 9, 2004          8:30 am - 1:30 pm

Allen Chapel A.M.E. Church
2498 Alabama Avenue  S.E.

Washington, DC 

The 4^th Annual Breast Cancer Event and Community Day program offers information on:

• Free Screening Programs in DC, MD, & VA
• How to reduce your risk by Eating Well and Being Active
• Treatment Approaches:    Traditional and Complementary & Alternative Medicine
• Support Programs for Survivors 

Children's activities/Entertainment  (9:00 a.m. - 1:30 p.m.)  The day also includes lunch.  Although all sessions are FREE, seating is available on a first come, first served basis.  Early Registration open until September 24 2003 

Please provide the following information:

First Name _________________________ Last Name _________________________

Street Address ________________________________________________________

City _________________________ State _____ Zip/Postal Code _________________

Work Phone _________________________ Home Phone _______________________

FAX _________________________ E-mail _________________________________     No. of Attendees _____

Names of Adult Attendees    __________________________________________________

                                                    __________________________________________________

                                                    __________________________________________________

Names of Child Attendees    _________________________________________ Age _____

                                                    _________________________________________ Age _____

                                                    _________________________________________ Age _____

How did you hear about this event?

_____Radio, which station ___________     ____    TV, which station __________

_____Newspaper, which one_______________    ____Internet/Email

THANK YOU FOR YOUR REGISTRATION
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