RePurpose With Purpose Event Registration Form

RePurpose With Purpose Event Registration Form

ReStore DIY Live Auction
Event Information

Please see the event date, time and location below.
Event Date: Thursday, April 27, 2023

Event Time: 6:30 - 8:30pm

Event Address: 251 W Prospect Street, Jackson, MI 49202
Please see the event location below on the map.
Attendee Information

Please fill name and contact information of attendees.
Your Name

PrefixFirst NameLast Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Will you have a guest with you?

YesNo
Guest Name

PrefixFirst NameLast Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Would you like to be updated about the upcoming events?

YesNo
Please verify that you are human.*
Should be Empty:

Event Information