Event Registration Form

Event:

10-10-10 Global Work Party

Be sure to fill in EVERY box or circle, or the form won't be saved--it will keep bouncing you back to the beginning. If you register successfully, you will receive an automatic reply ("Thanks for registering!") pretty quickly.

First Name: *

Last Name: *

Title (e.g., minister, green sanctuary chair): *

Congregation/Affiliation: *

Email: *

Phone: *

Is this a church or personal phone number?:

Event Information :

Please describe the event. Use the Date and Time (including am/pm) fields to enter the date and start time of your event. If you are not able to provide the details at this time, please email office@uuministryforearth.org later with the details.

Event Date:

Start Time:

Event Location, including street address:

City:

State:

Zip/Postal Code:

Press Contact:

Who can UUMFE or the UUA contact if they want to publicize your event? If you don't list a separate Press Contact, we will contact the person who submitted this registration form.

Press Contact email:

The email address of your event's Press Contact.

Press Contact phone:

Phone number for your Press Contact, if UUMFE and/or UUA want to get more information and publicize your event.

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