Registration Form

Thursday, July 25, 2019  5:30PM - 7:30PM
Elks Lodge, 201 W Broad Street, Tamaqua, PA 18252

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* 1. Contact Information

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* 2. How did you learn about this event?

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* 3. If you answered "Flyer" to question #3, please indicate location of flyer.

You will not receive an email confirmation for your registration, however Survey Monkey should acknowledge your form submission.   If you have any questions, please contact COGI at 570-628-6990.