BLACK MEN UNITED LUNCHEON

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

EVENT DETAILS:

Date

February 17, 2023

Time

11:00 am - 2:00 pm

Address

2 Haviland St, Haviland Club

Name
*

Pronouns

Phone Number
*

Email Address
*

When is your birthday?

YYYY

Do you have any dietary restrictions? If so, please list them here:

How do you feel about alcoholic beverages?
*

Yes please

Not for me, thanks

TRANSPORTATION

I WILL require transportation to and from this event

I will NOT require transportation to and from this event

I have a vehicle and I am willing to assist with transporting people to and from this event

Clear selection

Name one song you would like to hear at the luncheon?

Are you involved in any interesting projects or community organizations?

Would you like to receive the BCS e-newsletter?
*

Sign me up!

No thanks :)

Shout out to our BHM 2024 funders!

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Black Cultural Society of PEI.

Does this form look suspicious? Report