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DUHR Member Form
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Name
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Email
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Area of advocacy? (Optional)
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Gender
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Ethnicity/Ethnicities
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Age Group
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12-27 (GenZ)
28-43 (Millennials)
44-59 (Gen X)
60-69 (Boomers 2/Generation Jones)
70-78 (Boomers 1)
79-96 (Post War)
97-102 (WWII)
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Zip Code
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Phone number
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Dietary Restrictions
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Favorite Quote? (Optional)
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