MiSELS 
Complete this form to be placed on the waiting list to register for April , 2024 MAASE MiSELS Advocacy event.

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First Name *
Last Name *
E-mail *
Phone Number *
Current MAASE Member *
Please register me for... *
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By completing this form, I agree to be automatically registered, thus responsible for the associated registration cost, for this event should a space become available. I acknowledge that no refund of registration costs will be given with less than a 7 day written request for cancellation and that it is my sole responsibility to submit the cancellation request.  *
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