GM LGBTQ+ Equality Panel - Open House Registration Form

GM LGBTQ+ Equality Panel - Open House Registration Form
We're delighted that you want to learn more about the LGBTQ+ Equality Panel, and how you can sign up to become a member!

We are hosting two recruitment events:
- Thursday 23rd October - 5:30 to 7pm (Online)
- Saturday 25th October - 11:30 to 1pm (in-person at LGBT Foundation, Fairbairn House (Floor 2), Sackville Street, Manchester, M1 3NJ)
Please complete the following form to register your interest.
Name*

First NameLast Name
What are your pronouns?*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Which event will you be attending?*

Thursday 23rd October - 5:30 to 7pm (Online)Saturday 25th October - 11:30 to 1pm (in-person at LGBT Foundation, Fairbairn House (Floor 2), Sackville Street, Manchester, M1 3NJ)
Should be Empty: