To reserve a seat and a box lunch, please complete this form by Saturday, October 10 to register for our October 12, 2026 Lunch and Learn entitled “Low Vision and Macular Degeneration”.

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How many people in your group? *

Enter the number of people attending, including yourself and anyone coming with you. If you have more than 4, please start a new registration form.

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Person 2 Name *

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Person 3 Name *

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Person 4 Name *

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How Person 3

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