Registration Form

* 1. Contact Information

* 2. How did you learn about this event?

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

Presentation will be held on Thursday, July 12, 2018 at The Community Mission, North Front Street, Minersville
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.