India Partners - 35 Years of Hope
Saturday, April 27, 2019
6:00 pm
Hotel Eugene
66 E 6th Ave. | Eugene, OR 97401
First Name *
Your answer
Last Name *
Your answer
E-Mail Address *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone Number *
Your answer
Meal Preference *
Are there any dietary restrictions we should be aware of? *
Please check all that apply
Required
Number of adults in your party that will be attending the event with you: *
(12 & over)
Your answer
Number of children in your party that will be attending the event with you: *
(Under 12)
Your answer
Are you interested in supporting India Partners by becoming a sponsor for this event?
Guest Names
Please provide your guests first and last names so that we can make sure to register them separately. Thank You!
Name of ADULTS in your party that will be attending, First & Last *
(12 & over)
Your answer
Name of CHILDREN in your party that will be attending, First & Last *
(Under 12)
Your answer
Please list any additional guest info you would like us to know about: *
Personal Meal Choice, Personal Dietary Restrictions, etc. If nothing applies please type NONE in the box below to continue with your registration.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service