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                <h2>Set up An Appointment</h2>

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            <option value="">Please choose a branch</option>

        
        
            <option value="Albany" >Albany (707 Waverly Drive SE)</option>

        
            <option value="Bend" >Bend (61490 S Hwy 97)</option>

        
            <option value="Cottage Grove" >Cottage Grove (600 Jefferson Ave)</option>

        
            <option value="Eugene" >Eugene (3701 W 11th Ave)</option>

        
            <option value="Downtown Eugene" >Eugene (545 E 8th Ave)</option>

        
            <option value="Grants Pass" >Grants Pass (1532 NE F St)</option>

        
            <option value="Medford" >Medford (2079 Cardinal Ave)</option>

        
            <option value="North Bend" >North Bend (2470 Tremont St)</option>

        
            <option value="Oregon City" >Oregon City (1689 Molalla Ave)</option>

        
            <option value="Portland" >Portland (1307 NE 102nd, Suite G)</option>

        
            <option value="Roseburg" >Roseburg (4900 Grange Rd)</option>

        
            <option value="Roseburg " >Roseburg (2335 NW Kline St)</option>

        
            <option value="Springfield - Gateway" >Springfield (3660 Gateway St)</option>

        
            <option value="Springfield" >Springfield (5000 Main St)</option>

        
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