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Confirmation
Will you be joining us for New Members Orientation?
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Member-elect Registration Information
First Name
Last Name
Organization/Office Name
District (state - number)
Email Address
Member-elect Cell Number
*required only to reach them in case of emergency
Dietary Allergies or Special Assistance
Spouse First Name
Spouse Last Name
Spouse City
Spouse State
Work Phone
Mobile Phone
Spouse Dietary Allergies or Special Assistance
Scheduler First Name
Scheduler Last Name
Scheduler Cell Number
Scheduler Office Phone
Scheduler Email Address
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