UHC Day T-Shirt Sign Up
If you'd like to support this event, you can donate by buying a Tee Shirt. Please enter your name and size and donate to sign up for Your T-Shirt by December 15, 2019.
Email address *
Name *
T-Shirt Preview - Please chose your size below:
Shirt size *
Getting a Tee shirt is donating to the event. Make your donation by Mobile Money to: 673443511 (Clinton) (Cost of production is 3500frs minimum. We appreciate your donation at this amount at the least). After your donation, please indicate the address to which your Tee Shirt be sent ahead of the event in comments or pick it up during the event itself.
Thank you for supporting what is meaningful to you. We look forward to seeing you!. You can provide us your feedback on the Tee-shirt below. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy