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Thomas Zand Community Award Ceremony 2023 RSVP form
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* Indicates required question
Name
*
Your answer
E-mail Address
*
Your answer
Phone Number
Your answer
Please indicate if you are
*
A representative from a Worcester organization
A UMass learner
A UMass Faculty member and/or Researcher
A UMass Staff member
An Individual (not affiliated with UMass)
Other:
Required
Do you (or any one in your party) have any dietary restrictions? (Please specify)
Your answer
The following questions apply to representatives from Worcester refugee serving organizations only
Name of the organization you represent
Your answer
Your role in that organization
Your answer
Please indicate the number of people (including you) coming with you to the event?
*
Choose
1
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9
10
Do you want to set up a table to showcase your organization during the event? (We will contact you for details about this)
Your answer
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