Opportunity Enterprises : Servicing People With All Types of Disabilities : Northwest Indiana

Registration for Opportunity Enterprises
Pack-a-Thon 2010

*Required Information

*Prefix:

*First Name:

*Last Name:

Suffix:

Business, School or Group you are attending along with:

*Address Line 1:

Address Line 2:

*City:

*State:

*Zip:

*Email Address:

Phone:

Is this your first OE Pack-a-thon?

*Will you be arriving in a bus?

Number of people attending in your group:

Comments:

(Note: if a participant in your group wants to receive a separate email with instructions and directions or wants to be notified next year about pack-a-thon, please have them register online separately):

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2801 Evans Ave. | Valparaiso, IN 46383 | (219) 464-9621