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First Name
*
Last Name
*
Email Address:
Phone Number
*
Please select your membership status:
Active Member
Sustaining Member
Prospective Member
If you are a prospective member, please select the number of sponsors you are in need of at this time.
*Please note that if you have already secured three sponsors you should not attend this event.
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If you are an active or sustaining member, please check the box to the left to confirm that you are not currently sponsoring someone for the 2015-2016 administrative year as this event is intended for members who are still eligible to sponsor.
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