OMMIR Community Volunteer Advisory Board Meeting Request Form
I would like to attend the Community Volunteer Advisory Board Meeting. I request the meeting details and any materials be sent to the email address that I am providing.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Which region are you joining us from:
*
(City, State, Zip Code)
What brings you to our meetings:
*
OMMIR cause
Topics listed on the agenda
To hear a guest speaker
I attend OMMIR meetings regularly
Other
Which meeting will you attend:
*
-
Month
-
Day
Year
Date Picker Icon
Submit
Should be Empty: