Are you a new member, renewing member, an MQG individual, or a member of another MQG? *
First Name *
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Last Name *
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Address Line 1 *
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Address City, State, Zip *
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Phone number
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Can we include your contact information in the membership directory? *
If you chose no, your information will not be included in the directory.
Website/Blog URL
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Instagram Handle
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2023 Feedback - What went well? What did you like? *
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2023 Feedback - What would you have done differently? *
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2024 Programming - What topics do you wish to explore in the 2024 programming? Share your preferences for educational discussions or workshops that we can incorporate into our upcoming meetings. *
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2024 Retreat - What time of year works best for you? *
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2024 Retreat - How far away would you like the retreat to be? *
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2024 Retreat - What best fits your budget? Range includes lodging, some meals, and will be 3 days and 2 nights. *
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