Request edit access
2023 NABS Blind Equality Achievement Month Trivia Night Fundraiser Registration Form

Thank you so much for your interest in registering for the 2023 NABS Blind Equality Achievement Month (BEAM) Trivia Night Fundraiser! This year’s Trivia Night will be taking place on October 22nd from 5 to 7PM Eastern. The registration fee is $5 per person, which is payable to NABS after the submission of this form. Looking forward to seeing you there, and if you have any questions feel free to reach out to Joshua Olukanni at joshuaolukanni2002@gmail.com.

Sign in to Google to save your progress. Learn more
Name: *
Email: *
Phone Number *
Are you a student?
Clear selection
What state are you from?
Are you a member? *
In order to participate you need to pay a $5 registration fee. Please select how you will pay below.
Clear selection
Please review the code of conduct found here. 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms