Hi-Desert Medical Center Town Hall Meeting Registration Form - Joshua Tree

First Name *
Last Name *
Number Attending *
Phone # *
  
Thank you for registering to attend the Town Hall Meeting on Thursday, April 5 at 6 p.m. at the Joshua Tree Community Center in Elliott Hall.  You will receive an email confirming your registration.

If you see this paragraph and the element below, then your browser doesn't properly support cascading style sheets. Do not change the values in the form elements below. They are used to prevent spam bots from using this form to send spam.

* Indicates a required field