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UNICEF Member Information Form
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Grade Level
*
9
10
11
12
Other:
Best way to contact you?
*
Email
Phone
Phone (if applicable)
Your answer
email (if applicable)
Your answer
Are you a returning member?
*
Yes
No
Interested in purchasing a club t-shirt?
*
Yes
No
Interested in a leadership position? (includes returning leaders)
*
Yes
No
Maybe
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