Wealth Building Wednesdays Live Registration Form

Wealth Building Wednesdays Live!

Please complete the following form.
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you a participant in any OCWB programs?
If you are an OCWB participant, what is the name of your Engagement Specialist?
Which workshop will you be attending?*
Why are you registering to join this class?
If you have any questions, contact

Sherrilyn Hicks

Program Coordinator, Wealth Building

804.646.6360

sherrilyn.hicks@rva.gov
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