1. Will you attend the 9/5 LEAP Community Conversation meeting at the Commerce Centre in Johnstown, PA (6-8pm)?

* 2. Contact Information

* 3. Role

* 4. Do you have any food allergies or dietary requirements? Yes? If so, please explain...

* 5. Do you need an accommodation for the meeting? If so, please specify...

6. For questions or additional information, please contact: Brooke Merante, bmerante@efwp.org or Rick Boyle, rboyle@efwp.org, or 1-800-361-5885

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