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* 1. Name

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* 2. Chapter

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* 3. Email Address

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* 4. Phone Number

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* 5. Company Name

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* 6. Which AFWA Committee(s) would you like to serve on?  (Check all that apply)

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* 7. Which Foundation of AFWA Committees would you like to serve on? (Check all that apply)

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* 8. I am not sure what committee I want serve on so add me to any committee where I am most needed.

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* 9. Tell us how much time per month you are willing to serve.

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* 10. I don't have time for full committees but could help with Ad Hoc and/or Task Force groups.

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* 11. What talents or specialties do you have that can benefit the organization?

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* 12. Do you have any other comments, questions, or concerns?

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