Fight the Good Fight NYC - 2015 Appointment Requests

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WE ARE NO LONGER TAKING APPOINTMENTS FOR THIS EVENT. WALK-INS ARE WELCOME!

Thank you for supporting the 4th Annual 'Fight the Good Fight' tribute to Dr. Mutulu Shakur! The 2015 NYC event will be held at 40 Exchange Place, 3rd floor in Manhattan on Sunday, August 16, from 11:30pm - 5:30pm! Please fill out the form and we will contact you as soon as possible to confirm your appointment. We may be able to accommodate some walk-ins, but the best way to secure the time you would like is to fill out this form.

Acupuncture treatments & massage are at a sliding scale donation of $20 - $60. Cash & credit card payments are accepted. For a tax deduction, bring check or money order made out to IFCO-Family and Friends of Mutulu Shakur.

If you are having trouble with this form, call 646.481.4228.

For more information on the event: http://mutulushakur.com/site/2015/07/ftgf-2015/

What service would you like to schedule an appointment for? *

Choose one of the following (fill out the survey more than once to schedule multiple appointments):

Acupuncture: Sessions available all day from Licensed Acupuncturists, Dr. Shadidi Kinsey and Margie Navarro

Kan'Yah Afro-Caribbean Bodywork with Sherley Accime (1-5 pm only): see www.kbsoulconsulting.org/afro-carib-bodywork for more info

Who is the appointment for? *

This can be your name if you are reserving an appointment for yourself or the name of someone else if you are booking the appointment for them as a gift.

What is the best way to contact you to confirm your appointment? *

Please provide your phone number and/or email address. We need a way to contact you to confirm your appointment.

What time would you like your appointment to be at? *

Please check the box(es) next to any times that would be workable for you and someone will contact you shortly to confirm your appointment. Please try to check as many boxes as possible. You can indicate below your preferred time.

11:30 am

11:45 am

12 pm

12:15 pm

12:30 pm

12:45 pm

1 pm

1:15 pm

1:30 pm

1:45 pm

2 pm

2:15 pm

2:30 pm

2:45 pm

3 pm

3:15 pm

3:30 pm

3:45 pm

4 pm

4:15 pm

4:30 pm

4:45 pm

5 pm

5:15 pm

5:30 pm

Required

What is your ideal appointment time from the options you selected above?

We will try to schedule your appointment as close to this time as possible.

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