in-person registration — NEXUS4change — transform organizations, revitalize communities, and develop human potential

REGISTER FOR THE IN-PERSON EXPERIENCE:

Name

First Name

Last Name

Email Address

Community Info:

I am okay with my name and email being shared with other participants

I am NOT okay with my name and email being shared with other participants.

Phone

Country

(###)

###

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I will be traveling from:

Please share your location and zip code/ postal code.

Dates you will attend:

I will attend the Design Session on Friday

I will attend the Exchange on Saturday