Move to Change Day Event Registration
This form serves as a way to officially register your event for Move to Change Day 2016. After submitting this registration, we will provide you with a variety of resources to help make your event a success.
Name
Your answer
E-mail Address
Your answer
Phone Number
Your answer
Organization Name (company, studio, university chapter, etc.)
Your answer
Company / Chapter Location (City, State)
Your answer
Bio
Tell us a little about yourself, your company, or your chapter so that we can share your story with our network!
Your answer
Event Name
What are you calling your event?
Your answer
MTC Day Event Date / Time
Move To Change Day Events should aim be hosted on November 5, 2016, but we understand if you plan to host in the week leading up to or following the event.
MM
/
DD
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YYYY
Time
:
MTC Day Event Location
What is the name of the venue and the address of the event?
Your answer
MTC Day Event Details
Let us know all the details of your event so we can share it with our network! Who is performing / leading workshops, are there any special activities planned, etc.
Your answer
Fundraising Goal
If you plan on fundraising during the event, how much do you hope to raise?
Your answer
Facebook Event Page
If you have already made a Facebook event page, please post a link to it here. If you have not, post a link to your Facebook page so we can follow you!
Your answer
Facebook / Twitter / Social Media
Have you connected with our facebook event https://www.facebook.com/events/1197575393622370 and twitter account https://twitter.com/movementxchange?
Required
Comments, Questions, Concerns?
Your answer
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