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Ntosake Pride Registration
This form is meant to aid in the creation of a National Ntosake Pride Directory. Please provide the following information, and update us when you have any changes. Questions? Contact Angela James at
angela@gamaliel.org
.
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* Indicates required question
Email
*
Your email
Pride Name
*
Your answer
Pride mailing address
*
Your answer
Pride email address
*
Your answer
Pride phone number
*
Your answer
Pride Leader/main contact (Name and title)
*
Your answer
Main contact mailing address
*
Your answer
Main contact email address
*
Your answer
Main contact phone number
*
Your answer
Can main contact send/receive text messages?
*
Yes
No
Pride meeting schedule (i.e. 4th Saturday of each month from 10 a.m.-noon; as needed to participate in affiliate actions; etc).
*
Your answer
Gamaliel affiliate
*
Your answer
A copy of your responses will be emailed to the address you provided.
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