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2017 Worship in Pink Registration

 

Join us for Worship in Pink this October! 

Please complete the form below. If you have any questions, contact Ashleigh Harris at aharris@komenatlanta.org or call (404) 814-0052.

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  WIP Coordinator Contact Info

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Name:

 

 

   

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Question - Required - Primary ethnicity that makes up your organization:
Please make at least 1 selection from the choices below.

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Question - Required - Primary language(s) spoken by members of your organization:
Please make at least 1 selection from the choices below.

 

Registration for Worship in Pink Weekend includes FREE Komen Atlanta Breast Health Wallet Cards with important information inside for your members! These must be picked up by someone from your organization beginning September 28th. If you have any questions please contact Ashleigh Harris at (404)814-0052 or aharris@komenatlanta.org.

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Question - Required - Please select your Pick-Up Location:

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