Defy Tucson (Group Event Inquiry)
Please fill out this short form....thanks!
Email address *
First Name *
Your answer
Last Name *
Your answer
Your Mobile Phone Number *
Your answer
Name of Your Organization *
Your answer
Your Event is *
Desired Date *
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Second Choice of Date
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How many people will be participating? *
A good time to get back to me by phone is *
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Optional Comments (please include any tech requirements)
Your answer
A copy of your responses will be emailed to the address you provided.
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