Asian-Pacific Heritage Day Registration Form

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We cordially invite you and your family to the 10th Asian-Pacific Heritage Celebration, organized by AGRAJ SEVA KENDRA and sponsored by Siemens Asia Culture Employee Resource Group.
Date of the Event : June 19th
Time of the Event : 10.00 AM to 2.00 PM
Location of the Event: Grove 2, Thompson Park,
Thompson Drive and, Lakeview Ave,
Monroe Township, NJ 08831
Registration CLOSES on June 5th.

Email *

First Name: *

Last Name: *

Number of additional attendees: *

NAME of each additional attendee, (Age if <18 years ). *

Email address : *

Phone number: *

If you are 16 or above, are you vaccinated yet? *

Yes

Questions, comments, or anything else you would like us to know?

A copy of your responses will be emailed to the address you provided.

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