Climate Leadership Workshop Application/Registration Form - MN350
Thank you for your interest in attending a Climate Leadership Workshop hosted by MN350!  Due to the number of folks interested and to better cater the workshop to the needs of the participants, we ask that you answer the following questions.  We will contact you shortly after you submit an application with next steps.  We will be offering more workshops in the future as well!  If you have any questions, please email Erin@MN350.org.  Thanks!
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First Name *
Last Name *
Email *
Address *
Permanent or Residence Address
City/Town/Village *
State/Province
Country *
Postal (Zip) Code *
Phone Number *
Please include your country code.
Date of Birth *
(Day/Month/Year)
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