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St. Cloud Community Drinking Water Meeting — Hosted by Community Grassroots Solutions

Saturday, December 16, 2023

4:00-6:00pm

Nelson Mandela Center

3333 W Division St Suite 125, St Cloud, MN 56301

Registration Information

The information collected below is necessary for the distribution of participation gift cards.

Name

First Name

Last Name

Verify Email

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Date of birth

(mm/dd/yyyy)

Will you require the services of a Somali interpreter at this event?

Yes