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Please complete the form below to become a member of the Love My Air Coalition. Your member benefits include collaboration and networking with members across the state, access to our resources, and an opportunity to participate in meetings and advocacy efforts. You will also be signed up to receive Love My Air communications to stay up to date on current topics and events.

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* 1. First name

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* 2. Last name

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* 3. Credentials (optional)

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* 4. Email address

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* 5. Phone number (optional)

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* 6. Organization (use NA if not applicable)

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* 7. I live in the following county (e.g., Milwaukee, Racine, Dane, La Crosse):
(Please note, if you live outside of Wisconsin, please list your state here.)

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