✅ Green List ~ The Temperance House ~ Monday, December 9 ~ 5:30pm ~ Event Registration / RSVP: Mix and Mingle
$18 admission at the door without preregistration thru this Google Form
OR
$15 admission at the door for one with this Google Form Registration / RSVP AFTER 9:00am Monday, December 9
~~~
By completing this form before 9am on the day of this event, your name will be on the GREEN LIST.
Privacy Policy: Information provided is not sold or used except for notification of future events & related communication
* Required
Email address
*
Your email
Confirm Email
*
Your answer
Hello
*
I plan to attend. Also, please send me future event announcements.
I can not attend; however, please keep me posted about future events
First Name
*
Your answer
Last Name
*
Your answer
Zip Code
*
Your answer
Cell Phone Number
*
xxx-xxx-xxxx
Your answer
Gender
*
Male
Female
How did you learn about this event
*
Meetup
The Philadelphia Inquirer
Your Community Sun Paper (Newspaper Media Group) ie The Mooresville Sun
Delaware County Daily Times
Montgomery County Alive, Bucks County Alive
LinkedIn
www.PBSNinfo.com
PBSN Email (not Meetup)
Friend
Other:
NOTES
Your answer
🎁 What is your Birthday?
mm/dd/yyyy
Your answer
GREEN LIST CONFIRMATION
Upon successful submission of this form, you will receive an email with a copy of this form including your responses as confirmation that your RSVP was received by PBSN. When you arrive at the event, tell the Greeter that you are on the GREEN LIST. Questions: email
PBSNgatherings@aol.com
or call 610-348-5544. See you at the event.
Respectfully, Your Organizer, Ralph More events visit:
www.PBSNinfo.com
A copy of your responses will be emailed to the address you provided.
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