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Contact Information
Is this your first Veterans Coffee Connection?
*
Yes
No
Name
*
First Name
Last Name
Email
*
Verify Email
*
Organization you are representing
*If applicable
What is your military connection?
*
Check all that apply
Service member (active, reserve, or National Guard)
Prior service member (includes veterans and retirees)
Military family member
Caregiver for a military-connected individual
Military community member
None of the above
Prefer not to say
I will be joining
*
Virtually
In-Person
In which county do you reside?
Wake
Durham
Orange
Johnston
Franklin
Granville
Vance
Person
Warren
Other
I don't know
If other, please let us know in which county you reside.
*
Do you agree to be photographed/videoed for TJF media and shared with grantors and partners?
*
Occasionally we like to post photos/videos of activities happening during TJF programs and events on our social media, website, and share with our partners that help fund our programs.
Yes
No