Please complete all fields of this online registration form:
Type of Reservation
Party Reservation ($150 per ticket)
Unable to Attend
I will be unable to attend, but would like to be acknowledged as a Friend of Affair of the Heart through my fully tax deductible contribution:
Type of Payment:
Mail in a check
Genesys Heart Institute will use the proceeds to help design a new program with University of Michigan-Flint students focused on creating a series of health education videos. Student videos will feature lifestyle changes needed to help prevent the most prolific health issues in our region, including heart disease and diabetes.
If you have questions, would like to make your reservation by phone or you would like sponsorship information, please call (810) 606-6387.