Black Financial Empowerment Event 2022 RSVP Form

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* 1. Name

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* 2. Phone number

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* 3. Email

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* 4. Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 5. Organization

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* 6. Will you be attending the event?

Yes

No

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* 7. Who invited you to this event?

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* 8. Do you have any dietary restrictions?

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* 9. Please note, attendees are required to wear masks at all times except while eating & drinking.

I understand.

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* 10. How would you like to receive additional information about the event?

Phone call

Text

Email