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City Club -Form Fill

Section One
Q1

Name

First Name
Q2

Name

Last Name
Q3

Email
Q4

Phone Number
Q5

Age
Q6

Gender
Q7

You can upload documents here like reports, case studies, images, or videos.
Q8

Is there a topic that you want to discuss during the town hall meeting?
Q9

Do you have any concerns or reactions that you want to share during the town hall meeting?
Q10

Do you have any questions, suggestions, or comments?
Q11

Would you like to be part of our Facebook group?
Q12

Would you like to receive emails coming from us?