Program Interest Form

Please complete the form below and submit. One of our DICE representatives will contact you with the next steps. Thank you for your interest.

  Contact & Progranm Information
* Contact Name: * Contact Email:
* Cell Phone: Program:

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Address: 24555 Novi Rd, Novi, MI 48375                          Phone: (248) 962-3678                 Email: detroitindiancenter@yahoo.com