2012 PM&R Welcome Picnic
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1
. Your first & last name
Your first & last name
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2
. Do you plan to attend the 2012 PM&R Welcome Picnic?
Do you plan to attend the 2012 PM&R Welcome Picnic?
Yes
No
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3
. How many guests will you be bringing? Please specify the number of children attending, if applicable.
How many guests will you be bringing? Please specify the number of children attending, if applicable.
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