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SAGE Table
REGISTRATION
SAGE Table - Movie & Conversation
Map to Soundview Building
D Street (Directions from 38th St or Pacific Ave to Soundview Building)
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Registration
Date: Saturday, June 10, 2023
Time: 11:30 - 2:00 p.m
NOTE: Each attendee must register
*
Indicates required field
Name
*
First
Last
Birthdate Mo/Day/Year (xx/xx/xxxx)
*
Please use the xx/xx/xxxx format including the slashes
Email
*
City & Zipcode
*
Phone Number (xxx) xxx-xxxx
*
Phone number to reach you if we need to on the day of the event.
Comments or questions
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