Town Hall Meeting Registration

Town Hall Meeting

Name*
First Last
Email Address*
Phone Number*
Name of Congregation/Agency/Visitor of:
Choose a date to attend*
- June 21, 2019
May we include pictures with your image on our website/publications?*
- Yes
- No
Is this your first time registering to this event?*
- Yes
- No
Sign Up for our Town Hall Meeting Newsletter.*
- Yes
- No
Phone
This field is for validation purposes and should be left unchanged.

Name*
First Last
Email Address*
Phone Number*
Prayer request comments
Name
This field is for validation purposes and should be left unchanged.