Mississippi Black Women's Roundtable Day at the Capitol and Luncheon Registration
Please complete the form below to register for MSBWR Day at the Capitol and Legislative Luncheon. After completing the form, you will receive the full day agenda. We look forward in seeing your on Feb 15th, to take your seat at the policy table.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Number of people attending
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Number of Guest:
Will you attend the Mississippi Women's Economic Security Initiative MWESI) Legislative Luncheon?
Yes
No
Do you have any dietary restrictions?
Do you know your State Senator?
Yes
No
Do you know your State Representative?
Yes
No
Submit
Should be Empty: