MISSISSAUGA Mayoral Forum - REGISTRATION FORM
SEAT RESERVATIONS WILL HELP US PLAN BETTER FOR THIS OCTOBER 17th EVENT
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 ?
ARE YOU REPRESENTING ANY ORGANIZATION OR COMPANY? *
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HOW YOU CAN HELP TO MAKE THIS EVENT SUCCESSFUL?
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?
ANY ADDITIONAL FEEDBACK or SUGGESTIONS YOU WILL LIKE TO SHARE?
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