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Please print out and mail in this form with the name of the event you would like to attend to the following address: Family Resource Center on Disabilities, 20 E. Jackson Blvd.. Room 300, Chicago, Il 60604 by the date specified on the event page Name of Event:_________________________ Date: _______________________ Name:_______________________________ Phone:____________________________ Address:_______________________ City:___________________________ Zip:____________ Family Resource Center on Disabilities (formerly Coordinating Council for Handicapped Children) 20 East Jackson Blvd., Room 300 * Chicago, Illinois 60064 312/939-3513 (voice)----800/952-4199 (Illinois only, Outside Chicago Area)----312/939-3519 (TDD) |