Copy of Event Registration

Thank you for your interest in attending Latinx Executive Alliance Summer Impacto Event. Please fill out this survey to get registered.

Tuesday, June 27 at 1:00 PM Eastern Time
Event Speakers & Zoom details will be sent a few days before the event.

Question Title

* 1. Do you wish to register for the Latinx Executive Alliance Summer Impacto Event?

Yes

No

Not this time, but I would like to be updated about future events

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* 2. Your contact info:

First Name *

Last Name *

Job title *

Organization

Email Address *

Phone Number *

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* 3. How did you hear about us?