RSVP: Women Making a Diffence in Worcester, 3/15 Survey

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1.

Do you plan to attend the Women Making a Difference in Worcester event on Thursday, March 15th?

Yes

No

Maybe

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2. What is your first name?

What is your first name?

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3. What is your last name?

What is your last name?

4.

What is your organizational affiliation (if any)?

5.

Please provide your email address so that, if necessary, we may contact you about the event.

6. If you would like to bring a guest, please give her/his name.

If you would like to bring a guest, please give her/his name.

7.

Comments or questions?

The Women Making a Difference in Worcester event will be held on March 15th, from 6:30pm to 8:30pm at 44 Moore Avenue in Worcester.

Click here if you require disability-related accommodations in order to take part in this event.