Leave a Legacy Event Registration Form
Monday May 25th 9am-11am at Sweet Ofelia Cafe + Market (52 King Street East, Brockville)
Full Name
*
First Name
Last Name
Phone Number
Format: (000) 000-0000.
E-mail
*
example@example.com
Would You Like to Join Our Mailing List?
Yes
No
Do You Have Any Food Allergies?
Yes
No
If yes, please specify.
Will You Be Bringing a Guest?
Yes
No
If yes, please specify the number of guests.
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