MyEventRunner - Event Public Fill

Your Information

First Name:

Last Name:

Company Name (if applicable):

Address 1:

City:

State/Province:

Zip/Postal Code:

Email:

Preferred Phone:

I consent to the collection, storage, and use of my information by Rotary Club of Chicopee as described in this Privacy Policy. I understand that I may receive emails regarding this event and other relevant information, and can opt out at any time.

Your Partner/Guest Information

First Name:

Last Name:

Company Name (if applicable):

Address 1:

City:

State/Province:

Zip/Postal Code:

Email:

Preferred Phone:

I consent to the collection, storage, and use of my information by Rotary Club of Chicopee as described in this Privacy Policy. I understand that I may receive emails regarding this event and other relevant information, and can opt out at any time.

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