Virtual Christmas Celebration

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Please use this form to RSVP for our 17th Annual Celebration Dinner.

Name*
First Last
Email*
Phone number*
Address*
Street Address Address Line 2 City State ZIP Code
Are you a member of PossAbilities with a disability and/or a Veteran?*
- Yes
- No
TOTAL number in party that will attend the event.*
How will you view the event?*
- Cell phone
- Tablet
- Computer
Is this your first time attending this event?*
- Yes
- No