December 10, 2019 Repair Café Workshop Registration
Your information is secure. We use Google Forms to capture your registration.

In the week before the workshop, we will send details including a suggested arrival time and anything you may need to bring in addition to your item. Registering as a Participant means you agree with our House Rules.

This workshop will be:
December 10, 2019 from 7pm
Cary Senior Center
120 Maury Odell Place
Cary, NC 27513

If you have questions, please visit https://repaircafenc.org/ or email repaircafenc@gmail.com.

Email address *
Do you need help repairing a household item? *
Please describe the item. *
We can assist with electrical and non-electrical appliances, furniture, jewelry and much more. Please include manufacturer, model number, year, type of material (wood, plastic, etc.).
Your answer
What is wrong with the item *
Please include a description of any previous repair effort.
Your answer
Your First Name *
Your answer
Your Last Name *
Your answer
Your City *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Family Google Apps Account. Report Abuse - Terms of Service