美麗與哀愁 : 女性與阿滋海默症的對話 Women and Alzheimer's Disease

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Time (時間）：Saturday, October 26, 2019 | 2-4 p.m.
Location (地點）：華僑文教中心多功能廳
100 S Milpitas Blvd, Milpitas, CA 95035

今天的日期 (Date)

Date

YYYY

名字: (First Name) *

First Name

姓氏 (Last Name): *

Last Name

住址 (Address):

Address

公寓號碼 (Apt #):

Apt #

城市 (City): *

City

州 (State): *

State

郵遞區號 (Zip Code): *

Zip Code

電子信箱 (Email): *

Email (If no email, please type in NONE.):

電話號碼 (Telephone Number): *

Telephone

你是如何得知這個活動的(How did you learn about this event)? *

阿滋海默症協會的通知 ( Alzheimer's Association)

我是北一女校友 ( An alumnus of TFGHAA)

我是美華婦女會會員 ( An alumnus of OCAW)

媒體 ( Media)

醫療保健業者 ( Healthcare provider)

社區服務提供者 ( Community Service Provider)

雇主或同事 ( Employer or colleague)

家人或朋友 ( Family or friend)

其他 (Other)

Required

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