Urban League of Southern Connecticut Young Professionals
We are so glad that you have decided to join the Urban League of Southern Connecticut Young Professionals. REQUIRED BEFORE MEMBERSHIP ACCEPTANCE IS TO PAY THE $35 annual fee. Click the following link and return to this application once you have paid. ( https://checkout.square.site/pay/4f9f74c9-82f2-4638-8e97-4e6693d228ef)
Email address *
Name *
Email *
Address (Street, City/Town, State, ZIP Code) *
Date of Birth
MM
/
DD
/
YYYY
Cell Phone Number *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy