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Mardi Bras Party Registration
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* Required
Email
*
Your email
Party Title
*
Your answer
Name (Last, First)
*
Your answer
Phone number
*
Your answer
Date
*
MM
/
DD
/
YYYY
Start time
*
Time
:
AM
PM
End time
*
Time
:
AM
PM
Location (Copy right from Google Maps)
*
Your answer
Is this party public or private?
*
Public
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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