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* 1. First & Last Name:

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* 2. Name of your organization:

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* 3. Email Address:

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* 4. Do you plan to attend the ACTION Meeting on Tuesday, April 18th 3pm-6pm?

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* 5. ACTION may plan a Happy Hour for the evening of Wednesday, April 19th. If we plan this, are you able to attend?

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* 6. Additional Comments:

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