Maple Ridge, Pitt Meadows, Katzie LIP | Co-host the Multicultural HUB with the Community Connectors!

Service Providers Registration for Multicultural HUB

This is a form to fill when you reserve a date to come co-host the Multicultural HUB together with our Community Connectors. Your support will be greatly appreciated and communicated through all our networks.

When do you want to come and support the Multicultural HUB?(Required)

Your Organization's Name / Agency name(Required)

Who will be coming to the Multicultural HUB from your organization?(Required)

First Last

If more people are coming, please, write their names here.

Email to contact you(Required)

Enter Email Confirm Email

Tell us more about the services you will promote. Is there a certain program or service you want to focus on?(Required)

Please let us know what's on your mind. Have a question for us? Ask away.

We may take pictures for our records or to promote your support. Do you agree?(Required)

Send us a visual if we want us to use it when promoting your participation.

Drop files here or

Max. file size: 16 MB.