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Pittsburgh Veterans Story Night 2024
PLEASE COMPLETE THE FORM BELOW BY WEDNESDAY, MAY 15, 2024.
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Pronouns (she/her, he/him, they/them, etc.)
Your answer
Cell Phone Number
*
Your answer
Age
*
18-29
30-39
40-49
50-59
60-69
70-79
80-89
90 or older
I prefer to be contacted by:
*
Email
Text my cell phone
Call my cell phone
Other:
Do you have any major conflicts (vacation, etc.) between May 20-June 24? Please list them below.
Your answer
If you have any concerns with meeting over Zoom, please explain below.
Your answer
Any other questions or concerns?
Your answer
Please click "submit" below. Thank you for your interest! We will get back to you as soon as possible.
A copy of your responses will be emailed to the address you provided.
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