Celebrating Change-Makers

Thank you for your RSVP to Celebrating Change-Makers. To reserve your space, please fill out the registration information below.

Celebrating Change-Makers
Thursday, October 20, 2016
6:00-7:00 PM: Supper in the Sukkah
7:00-8:30 PM: Program and Dessert

Please RSVP by October 14th. 

Location
: Private residence on the Upper West Side (we will send you the address once you have registered)

Dietary laws observed. 


1.Title:
2.First Name:(Required.)
3.Last Name:(Required.)
4.Email address:(Required.)
5.Second guest's name:
6.Second guest's email address:
7.Phone Number:(Required.)
8.Address:(Required.)
9.How did you hear about this event? (If from a specific person, please list that person's name)(Required.)
10.How would you like your name to appear on your nametag?
11.Please list other guests, additional comments, or accessibility needs here.
 
Please email us at changemakers@joinforjustice.org with any questions.