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Event Registration
The Voice of Poets
Registrant Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
*
Email
*
Verify Email
*
Fee
*
Quantity
$20
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10
$0
-
Military Veteran
0
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8
9
10
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25
$0
-
ConnectorCard to Culture attendee
0
1
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25
LIST OTHER Attendee(s) (in addition to REGISTRANT)
Please list Full Name and email
Gift
Is this order a GIFT?
Yes
NAME of GIFT RECIPIENT(S) if applicable
Please list Full Name, Phone and Email