MISSISSAUGA Mayoral Forum - REGISTRATION FORM
SEAT RESERVATIONS WILL HELP US PLAN BETTER FOR THIS OCTOBER 17th EVENT
* Required
FRIDAY OCTOBER 17th - Black Canadian Mayors Debate
FULL NAME
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EMAIL
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TELEPHONE
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WHERE DID YOU SEE / HEAR ABOUT THIS MAYORAL FORUM ?
TV / Radio
Newspaper / Magazines
Social Media
Word of Mouth
Personal Invitation
Flier / Post-cards / Posters
Email Invite
BlackCanadians.com
Other:
ARE YOU REPRESENTING ANY ORGANIZATION OR COMPANY?
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HOW YOU CAN HELP TO MAKE THIS EVENT SUCCESSFUL?
VOLUNTEER
INVITE OTHERS
ATTEND WITH A GROUP
MAKE A DONATION
AFFILIATE
CO-SPONSOR
Other:
HOW MANY SEATS SHOULD WE RESERVE FOR YOU?
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SUGGEST A QUESTION TO ASK AT THE DEBATE?
"YOUR QUESTION MAYBE PICKED OR INCLUDED IN ANOTHER QUESTION"
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WOULD YOU RECOMMEND THIS EVENT TO SOMEONE ELSE?
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No
ANY ADDITIONAL FEEDBACK or SUGGESTIONS YOU WILL LIKE TO SHARE?
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