Economic Justice Workshop SIGN UP FORM Name/Nombre * First Name Last Name Email/Correo electrónico * Phone Country (###) ### #### Date of workshop you wish to attend Fecha del taller al que deseas asistir Wednesday, May 14 Tuesday, June 3 Tuesday, July 8 Tuesday, August 12 Tuesday, September 9 Tuesday, October 14 Tuesday, November 18 Tuesday, December 9 Date of Birth * Fecha de nacimiento MM DD YYYY Type of Business/Tipo de negocio * Program of interest/Programa de Interés * Attendance/Asistencia * In-person/En persona Remote/Remota Preferred Time/Hora preferida 4-5pm 5-6pm 6-7pm Thank you for your interest! A representative from NMILC will follow up with you shortly.