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2025 MVLC Registration
Volunteerism: Embracing Civic Engagement & Stewardship
August 6th 8 a.m.-5 p.m. Camp Chamberlain, Augusta ME
Registrant Information
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1.
Contact Information
(Required.)
Name (First & Last):
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Agency:
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Address:
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Address Line 2:
City/Town:
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State:
AL Alabama
AK Alaska
AS American Samoa
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AR Arkansas
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DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
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IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
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ME Maine
MH Marshall Islands
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VT Vermont
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WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
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Your Email Address:
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Your Daytime Phone Number:
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2.
If you require any accommodations to fully participate in this event, please list them here or contact: michael.ashmore@maine.gov
