Seattle, Washington – November 18, 2017 This event will take place on November 18, 2017, at Market Place Naturopathic, 2107 Elliott Ave, Suite 307, Seattle, WA, 98121 You are Registering for the Event on:*This event will take place on November 18, 2017, at Market Place Naturopathic, 2107 Elliott Ave, Suite 307, Seattle, WA, 98121Screening Prices Single Screen Base Rate 2 or more People Rate $195 $175 per person *ALL FIELDS ARE REQUIREDFirst Name*Last Name*Email* Enter Email Confirm Email *How many individuals will you be registering for?*Select One*1 person (myself)2 people (myself +1 family member)3 people (myself +2 family members)4 people (myself +3 family members)5 people (myself +4 family members)6 people (myself +5 family members)How did you hear about the Lyme Screening Event?*Select One*FacebookInstagramInternet SearchFriends/FamilyGlymedx.com WebsiteMy PhysicianIngels Family HealthDr. Jonathan GoodmanOtherOther: Please Specify** Yes - I give glymedx.com (Global Lyme Diagnostics) permission to contact me via email or by phone regarding event registration and information about upcoming events. If you are unable to attend this Lyme Screening event, please click here to provide feedbackCurrent SubmissionsWaitlist This iframe contains the logic required to handle Ajax powered Gravity Forms.