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Full Name

Email Address

Phone Number

City/State of Residence

What are you interested in? (Check all that apply)

Interest: Other

Attend Workshop: Have you attended a storytelling or veterans’ healing workshop before?

Attend Workshop: What do you hope to gain from this workshop?

Consultation: What would you like to discuss with Scott?

Consultation: Other

Consultation: Preferred consultation format?

Virtual In-Person No Preference

Are you representing an organization, business, or community group?

Yes No

Please provide the name of your organization/group.

Workshop: Where would you like to host the workshop?

Workshop: Do you have funding or sponsorship in place, or would you need assistance exploring funding options?

Yes, we have funding No, we need assistance Unsure, need guidance

Workshop: Would you like to schedule a call with our team to discuss details?

Yes No

Last Out: Where would you like to bring Last Out?

Last Out: Do you have funding or sponsorship in place, or would you need assistance exploring funding options?

Yes, we have funding No, we need assistance Unsure, need guidance

Last Out: Would you like to schedule a call with our team to discuss details?

Yes No

Learn More: What more would you like to know about Task Force Pineapple?

TGS: Where would you like to host the briefing?

TGS: What is your preferred format for The Gathering Storm Briefing?

Virtual In-Person No Preference

TGS: Would you like to schedule a call with our team to discuss details?

Yes No

TGS: Do you have funding or sponsorship in place, or would you need assistance exploring funding options?

Yes, we have funding No, we need assistance Unsure, need guidance

How did you hear about Task Force Pineapple? (Not required, but we appreciate your feedback)

Social Media Friend/Family Event Podcast News Other—please specify

Other

Any additional comments or questions?

how to reach us

Upcoming Events

Come join us!

mailing address

Task Force Pineapple
13194 US Highway 301 South, Suite #201.
Riverview, FL 33578

email us

info@tfpineapple.org

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Home
Theater Productions
- 11 Days
- Last Out
Tickets
Donate
Contact
Shop

Home
Theater Productions
- 11 Days
- Last Out
Tickets
Donate
Contact
Shop

13194 US Highway 301 South, Suite #201. Riverview, FL 33578

info@tfpineapple.org

A 501(c)(3) Charitable Non-Profit

Federal EIN: 36-4701518

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