SEVENTEENTH Annual ARISE Detroit! Neighborhoods Day - Registration

• Organization website address, Facebook page or other social media address:

Registration Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Organization Name:
• * Address 1:
• Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Phone:
• Cell Phone:
• * Neighborhoods Day Event Details
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• * Neighborhoods Day Event DATE(S), START & END TIME
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• Fee

  Type	Fee
  Event fee	$50.00

Neighborhoods Day Event Location

• * Address:
• * City, State:
• * Zip code:

You may add a maximum of 10

Volunteers

• *

  Will you need volunteers for your Neighborhoods Day event?

  • Yes
  • No