40 LGBTQ Leaders Under 40 Interest Form

Your Name (required)

Your Email (required)

I would like more information about:
commemorative plaquecommemorative paperweightother commemorative items

I am interested in participating in a video interview as part of BEQ Pride's upcoming LGBTQ Leaders series.
Yes, please contact me to arrange an interviewNo, I am not interested at this time

Are there locations in your community where we should send a copy of this issue of BEQ Pride? e.g. NGLCC affiliate, LGBTQ nonprofits, young leaders groups