Dinner with The Doc – Registration Form

LOCATION:
Maggiano’s Vernon Hills
307 Hawthorn Center, Vernon Hills, IL 60061

DATE:
November 21st, 2019

TIME:
6:00 PM – 8:00 PM

The dinner is reserved for those seeking answers to their health problems and looking to improve their health. PLEASE fill out the RSVP form below in order to reserve your seat.

You will be notified via email if you qualify to attend. Please fill out the form below.
Thank you for your interest in our Dinner with the Doc!

REGISTRATION FORM

*Offer not valid for Medicare or other Federal Aid Programs
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