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April 15, 2023 District 6 Meeting
Registration Form for District Meeting
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First Name
*
Your answer
What is the First Initial of your last name?
*
Your answer
Home Group
*
Your answer
What is your email address?
Your answer
Are you a Group Representative?
*
Yes
No
Do you have another Service Position (other than GR)?
*
Yes
No
Required
If so, What is your Service Position other than GR?
Your answer
What is a phone number where you can be reached?
Your answer
Are you willing to be a service sponsor?
Yes
No
Clear selection
Are you voting at this district meeting?
*
Yes
No
Other:
Will you be attending in person or online?
In person
Online
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