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. 

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1. Title:

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2. First Name: (Required.)

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3. Last Name: (Required.)

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4. Email address: (Required.)

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5. Second guest's name:

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6. Second guest's email address:

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7. Phone Number: (Required.)

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8. Address: (Required.)

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9. How did you hear about this event? (If from a specific person, please list that person's name) (Required.)

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10. How would you like your name to appear on your nametag?

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11. Please list other guests, additional comments, or accessibility needs here.

 
Please email us at changemakers@joinforjustice.org with any questions.

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