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24th Annual Unity Walk Participation Form
Please complete and submit this form as soon as possible but no later than Friday, July 15, 2021 to let us know of your participation. Thank you.
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* Indicates required question
Email
*
Your email
Name of Organization
*
If you are an individual and not representing a company or business, please indicate n/a.
Your answer
How should your name be listed on event signage?
Your answer
First and Last Name of Contact at Organization
*
Your answer
Phone Number of Contact
*
Your answer
Organization's Full Address
*
Please include company's street address, city, state and zipcode. If you are an individual, please indicate the best address to contact you.
Your answer
Category (please select which best represents your organization)
*
Choose
City Agency
Clergy or Faith-based Organization
Elected or Public Official
Employment Agency
Health Services or Hospital
Housing Services
Immigration Services
Individual
Law Enforcement or Law Enforcement Related
Legal Services
Local Business
Neighborhood Block Association
NYPD or NYPD Related Service
Non-profit Organization (secular)
Restaurant or Food Service
School or Educational Facility
My Organization would like to
*
Sponsor / Contribute
Have a Vendor Table/Booth
Register an Activity or Demonstration (face-painting, storytelling, workshops)
Register a Team to Walk
Buy Event T-Shirts
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