Health Power for Minorities – Multicultural Populations

Free Health Power Brochure Order Form

To select a Health Power Brochure, online or by mail, just complete this form and make your choice.

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*Name:
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*Age:	14 - 17 18 - 24 25 - 32 33 - 40 41 - 49 50 - 64 65+
*Race/Ethnicity	African-American/Black Hispanic/Latino Asian/Pacific Islander Native American/American Indian Caucasian/White More than one Race/Ethnicity
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Site last updated May 15, 2008
Health Power For Minorities
3020 Glenwood Road • Brooklyn, NY 11210
Tel: (718) 434-8103 • Fax: (718) 434-8162 • e-mail: healthpowerforminorities.org