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IACAW Karaoke Night Registration

Please register for the IACAW Karaoke Night by completing the following form below.  If you are singing Karaoke, please be sure to provide the song name and other details as requested.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Cell Phone Number

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* 5. Number of people you registering for (including yourself)

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* 6. Your membership status

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