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* 1. What's your name?

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* 2. What about your e-mail address?

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* 3. And how about a phone number?

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* 4. If you're involved with a Homebrew club... which one?

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* 5. Select the region to which you will be entering your beer(s).

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* 6. Charity of choice (for $1 per beer Iron Hill donation, should your beer win).

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* 7. Beer 1

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* 8. Beer 2 (optional)

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* 9. Beer 3 (optional)

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