Registration Form

When: October 12th, 3:00-5:00pm (doors open at 2:30)

Name *

First Name

Last Name

Organization

(if applicable)

Email *

Phone

(###)

###

####

Number of Guests *

Guest Names *

Please include first and last names.

Thank you for registering.

P.O. Box 6617 Portland OR 97228

(503) 810-9274
info@harambeecentre.org

First Name

Last Name

Email Address

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Harambee Center

PO Box 6617,

Portland, OR, 97228,

USA

(503) 810-9274 harambeecentre@gmail.com

Hours