Enter Your Information

You have selected:
An evening dedicated to your heart with Dr. Marc Gerdisch on Feb 27 2013 5:30PM for 1 1/2 hours.  There are 110 seats available.  The class location is at the Indiana Historical Society, 450 W. Ohio St. Indpls; Appetizers and living history exhibit at 5:30; program begins at 6:30.

If this is the class and time you want, please fill in the information below to sign up.  Otherwise, click here to make another selection.
Note: * denotes a required Field...

First Name:*  
Last Name:*    
Address:*    
City:*    
State:*    
Zip:*      
Phone Number:*      
Additional Phone Number:
E-Mail Address:      
Are You an Indiana Heart Physicians Patient?:
Age Range:*



   
Where did you hear about our programs:*



















   
 

 


 

© 2014 Franciscan Alliance, Inc.
Franciscan Alliance, Inc.