Resource Table Registration
Welcome! Please fill in your details below and you will be automatically registered. You will also begin to receive notifications of all our upcoming events and programs offered.
Event Registration
*
Please Select
It's a Resource Day in the Neighborhood
Reading Promise
Back to School Giveaway
Winter Wonderland in the West Pole
Organization Name
*
Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization Website
*
www.example.com
Organization Description:
*
Please write a short description of the information you will be providing.
Organization Logo
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Giveaways (if applicable):
Please list any giveaways that you will provide at the event (not required).
Primary Contact Name
*
First Name
Last Name
Primary Contact Title
*
Primary Contact Email Address
*
example@example.com
Primary Contact Number
*
Please enter a valid phone number.
Email Opt-In
Please keep me in the loop with news and upcoming events from Elegance Xtreme, Inc․
Media Release Statement
I hereby grant permission to EleganceXtreme, Inc. to use my photograph and likeness in all forms of media for any lawful purpose, including publicity, illustration, advertising, and web content.
How did you hear about us?
*
Word of mouth
Social media
Email
Other
Submit
Should be Empty: