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Registration/Donation Form
TEN Celebration of the Performing Arts
Teen Outreach Summit/Expo
Saturday, March 30, 2019
10:00 a.m. to 2:30 p.m.
Name of Organization: ___________________________________________
Address: ______________________________________________________
Contact Person: ________________________________________________
Phone Number: ________________________________________________
______ Booth(s) x $80.00 = $____________
Donation: $__________________________
Total: $______________________________
Information to be provided in directory (ex: organization’s focus, services, or goals):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Needs (WiFi, electrical outlet, etc.): ___________________________________
_________________________________________________________________
_________________________________________________________________
Please return completed form to [email protected] no later than Monday, March 25, 2019, to reserve your spot. Checks should be made payable to:
Teen Enrichment Network7124 Salem Fields Blvd.
PMB# 121Fredericksburg, VA 22407-2509
Donations can also be made at https://www.gofundme.com/teen-enrichment-scholarship-fund.
