Form Center

2. Name
4. Phone Number
6. Date and Time
   -- Select One --Full Seminar - December 14, 2019 at 8:30 am

   Please select the date you wish to attend. The seminar will be held on the selected date at the Village Hall Court Room, 9526 W. Irving Park Road - 2nd Floor. The Crime Free Housing Coordinator will contact you if there is a problem with your registration.
8. Number of Attendees
   -- Select One --1234
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10. Submit

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