North Carolina Roundtable Registration

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North Carolina Roundtable Event Registration

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Name *

First

Last

Email *

Phone

Organization/Affiliation

Role/Title:

Website / URL

Event Participation:

Check all that apply

What is your main area of interest or concern?

Job Training
Racial Harmony
School Choice
Stronger Borders
Protections and Opportunities for American-Owned Businesses
Other

Please Explain

Would you like to participate as a speaker or panelist?

If yes, please provide a brief description of your proposed topic or area of expertise:

Logistics:

Do you have any special requirements or accommodations?

If yes, please provide a brief description of your needs:

How did you hear about this event?

Email
Social Media
Website
Referral
Other

Please let us know how you heard about this event:

Additional Information

Comments or Questions if any:

Agreement

Agreement *

By submitting this form, you agree to participate in The Garfield Project Roundtable/Townhall and to receive communication related to this event. Thank you for your interest in The Garfield Project. We look forward to your participation!

If You Have Any Questions and need immediate assistance,
Contact us at The Garfield Project:
info@garfieldproject.org

Get Involved with The Garfield Project!

Be a part of the change you want to see in your community. Whether you want to volunteer, join our programs, or attend an event, your participation makes a difference. Together, we can build a brighter future.

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