Town Hall Meeting Registration

September 20th Town Hall Meeting Schedule

Town Hall Meeting

Name*
First Last
Email Address*
Phone Number*
Name of Agency/Visitor of:
Choose a date to attend*
- September 20, 2019
May we include snap shots with your image on our website/publications?*
- Yes
- No
Is this your first time registering for a THM sponsored by Proverbs 23?*
- Yes
- No
Sign Up for our Town Hall Meeting Newsletter.*
- Yes
- No
Email
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Name*
First Last
Email Address*
Phone Number*
Prayer request comments
Phone
This field is for validation purposes and should be left unchanged.