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* 1. Full Name

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* 2. Member Number

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* 3. Contact Number or Email (in case of complications)

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* 4. Will you be attending the North Coast Co-op 49th Annual Membership Meeting?

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* 5. Will you be bringing a guest? (Each membership can bring one guest, plus children.)

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* 6. Total number in party?

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* 7. Food Preference:

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* 8. How did you first hear about this event?

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