Jefferson Franklin Community Action Corporation
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Legislative Meet and Greet BBQ Bash Sign-Up Form
*
Indicates required field
What:
Legislative Meet and Greet BBQ Bash
Where:
Hillsboro Community Civic Center, Hillsboro, MO
When:
10:30 – 1:00 (Set up 9:00-10:00; Teardown 1:00-2:00)
Agency Name
*
Contact Person
*
First
Last
Number of Locations
*
Address of Agency
*
Line 1
Line 2
City
State
Zip Code
Country
Core Services Provided by Agency:
*
Agency Phone Number
*
Email
*
Your Agency's Logo
*
Max file size: 20MB
Names of Pariticipant(s) Who will be attending on behalf of your agency:
*
Table?
*
Yes
No
(2 participants included with table reservation- $50.00 per booth)
Plug in needed?
*
Yes
No
(Limited Availability- will be provided on a first come basis)
Number of additional participants needed
*
($20.00 per additional attendee):
Name of Additional Participants:
*
Submit