Mardi Bras Party Registration
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Email *
Party Title *
Name   (Last, First) *
Phone number *
Date *
MM
/
DD
/
YYYY
Start time *
Time
:
End time *
Time
:
Location   (Copy right from Google Maps) *
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Is this party public or private? *
If you would like a guest speaker to share about Mardi Bras please email m3w@me.com
A copy of your responses will be emailed to the address you provided.
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