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2008 Riley Hospital Tour

Online Registration Form

Friday, February 8, 2008
at the lobby of the Riley Outpatient Center

West Drive, Indianapolis, IN 46202

Here is the map link for the Riley Outpatient Center or the "ROC"
http://www.rileypediatricsurgery.com/RileyOutpatientCenter.htm

We are pleased to be able to provide tours for those Kiwanains that may wish to tour Riley Hospital on the Friday before the 2008 Mid Year Conference.

Please provide the following contact information:

First Name
Last Name
2007-08 Club Office Held	Kiwanis Member Kiwanis Partner/Spouse 2007-08 Club President 2007-08 Club President-Elect 2007-08 Club Secretary-Treasurer 2007-08 Club Secretary 2007-08 Club Treasurer Interested Club Member will not be holding an office during 2007-08 2008-09 Lt. Governor
Division Name	Arrowhead Division-#K0805 Buffalo Trace Division-#K0815 Calumet Division-#K0819 Capitol Division-#K0810 Cardinal Division-#K0824 Circle City Division-#K0811 Collegiate Division-#K0813 Duneland Division-#K0820 Explorer Division-#K0802 Farmland Division-#K0821 Heartland Division-#K0814 Hoosier Division-#K0825 Indy Metro Division-#K0823 Johnny Appleseed Division-#K0804 Land of Lakes Division-#K0803 Lincoln Division-#K0818 Rose Division-#K0812 Sagamore Division-#K0807 Scenic Hills Division-#K0816 Southwind Division-#K0817 Sycamore North Division-#K0808 Sycamore South Division-#K0822 Wabash Valley Division-#K0806 Waphani Division-#K0809
Kiwanis Club Name
Daytime Phone
E-mail

Tour Time Options:

(First come, first serve.  When a tour becomes full, we will let you know via e-mail.)

Tour #1	Friday, February 8, 2008 at 1:30pm
Tour #2	Friday, February 8, 2008 at 2:45pm
Tour #3	Friday, February 8, 2008 at 4:00pm

   

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