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MDS Annual Celebration Registration Form
January 21-22, Sarasota, Florida
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Home Address
*
Your answer
Days Attending
*
Friday Only
Saturday Only
Friday AND Saturday
Required
Please list any food allergies (dairy, gluten, etc.) and dietary restrictions (vegetarian, vegan, etc.).
Your answer
A copy of your responses will be emailed to the address you provided.
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