RESOLVE of the Bay State



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Peer Discussion Groups

Topic Discussion Groups

Upcoming Programs:

Adoption Decision Making Seminar
Saturday,
May 31, 2008
9:30 a.m.- 5:00 p.m.

The Secret Club Project: Understanding Pregnancy Loss through the Arts
Tuesday,
June 3, 2008
7:00 - 9:00 p.m.

Future Programs

Scholarship Application

To submit your application, please fill out and print the following application. Be sure to sign (by entering name in signature field and hitting submit button, you are digitally signing this form) and date your application.

Mail: 395 Totten Pond Rd., Suite 403, Waltham, MA 02451

FAX: 781-890-2249

E-Mail: admin@resolveofthebaystate.org

Lisa Fenn Gordenstein Access Scholarship Application:

Financial assistance is available for RESOLVE members only. Non-members
applying for the scholarship should also join RESOLVE of the Bay State at the usual membership fee of $55 per household/year. In addition to submitting the application below, please mail in your cash or check payment of $55 to RESOLVE of the Bay State, 395 Totten Pond Rd, Suite 403, Waltham, MA 02451. Please include a note with your payment stating that you are applying for financial assistance and the program for which you are applying. Please also include your name, address, phone, and email. Your email address allows us to contact you about current and upcoming RESOLVE programs.

Name:
Address:
City:
State:
Zip:
Phone:
E-mail:

	I am applying for the Lisa Fenn Gordenstein Access Scholarship for:
	Annual Conference 2008
	Adoption Decision Making Seminar
	Donor Egg Decision Making Seminar

	I attest that my/our financial circumstances are such that I/we require scholarship assistance to attend the above-indicated RESOLVE of the Bay State program.
Signature:	________________________________
Date:	________________________________
	Once you have filled out this form and pushed submit, you have agreed to the above statement and this is considered your signature.

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with the word "Subscribe" in the subject line OR type your email address
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395 Totten Pond Rd, Suite 403
Waltham, MA 02451

HelpLine: 781-890-2225
Fax: 781-890-2249
email: admin@resolveofthebaystate.org
website: www.resolveofthebaystate.org

Important Note: The information contained in this site is not intended to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Nothing contained in this site is intended to be a substitute for medical diagnosis or treatment.