#BLUUMicro30 Commitment Form
Name *
Your answer
Email Address *
Your answer
Telephone *
Your answer
City, State *
Where are you located?
Your answer
What Creating Connections Gathering will you be planning? *
Please indication what TYPE of Fall 2017 #BLUUMicro30 you are planning below
When will you host your Creating Connections Gathering? *
Please indicate the target date for your Fall 2017 BLUUMicro30 action
Your answer
Additional details about your action
Please include any specific assistance/support you need from the BLUU team. *** For #BLUUBlackPanther please include a link to your Facebook event page***
Your answer
What UU Congregation do you belong to (if applicable)
Your answer
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