Alzheimer Society Of Saskatchewan - Alzheimer Disease, Related Dementias, Caregiving, Support, Research, Treatment, and ASC Programs and Services

Help us celebrate our 15th anniversary by signing up now to be a 2010 Coffee Break® Host.

Yes, I would like to host
a Coffee Break®

Host Organization or Person:

Contact Person:

Address

City

Province

Postal Code

Phone:

Email:

Please indicate which Coffee Break® Kit you would like to receive:

Please send me a Serving Coffee kit

Contents include:
2 One Pot Coffee Packages
1 Banner (2 ft x 6½ ft)
1 Poster (11x14)
2 Posters (8½ x 11)
1 Coin Box
4 Alzheimer Society Brochures
4 Balloons
2 Donations Record Sheets

Please send me the following additional supplies

Please send me a Coffee Cup Cutout kit

Contents include:
100 Coffee Cup Cutouts
1 Poster (11x14)
2 Posters (8½ x 11)
1 Coin Box
5 Alzheimer Society Brochures
4 Balloons
2 Donations Record Sheets

Please send me the following additional supplies

Please send me electronic posters to email to my friends and co-workers
Yes
No



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