Family Member/Caregiver Registration

Registration for the Maine Brain Injury Resource Fair on March 29, 2018, 1-4 p.m.

Augusta Armory
179 Western Ave.
Augusta, ME

First Name*

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Last Name*

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Title

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Organization Name

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Address Type

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Street Address

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City

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State

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Zip

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Phone

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Qty

The fair is free for attendees; however, registration is required. To register, please complete the following steps:

Complete the fields above and then click the "Register" button. If you want to complete more than one registration at the same time, please click "Register & Add Another" instead.
Complete the billing information page. If you are an attendee, you will not have to enter any payment information, but you will have to complete the billing page to complete your registration.
Click "Complete Purchase."

If your registration was successful, you will see an order number and receive a confirmation email. If you do not see an order number and/or receive a confirmation e-mail, your registration was not completed.

If you do not have an email address or if you have issues registering, please email Sarah Gaffney or call her at (207) 522-6601.