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Registration: Civic Trivia Happy Hour

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* 1. Your Name

First

Last

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* 2. Email

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* 3. Guest Name

First

Last

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* 4. Guest Email

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* 5. Address

Street 1

Street 2 (optional)

City

State

ZIP

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* 6. Phone Number

Home

Work

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* 7. Are you a Citizens League member?

Yes

No

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* 8. Check this button if you do not wish to receive the Citizens League's email newsletter.

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