COVID-19 TOWN HALL Registration
November 22, 1-3 pm at Trinity Lutheran Church 16138 Molina Dr., Victorville, CA (760) 241-9900. Complete form below to signup.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Cell Phone
How many will attend?
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next
( X )
Town Hall Registration:
$
Free
Quantity
1
2
3
4
5
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10
How did you hear about the workshop?
*
Web Site
Friend/Colleague
Online Search
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Complete Registration
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