I WOULD LIKE TO BE A MEMBER OF THE CLEC STEWARDS GROUP

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* 1. Name:

Address:

Phone Number:

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* 2. Email:

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* 3. Type of membership

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* 4. How do you intend to pay your annual membership dues?

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* 5. I could be part of a task, advisory, or event team.

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* 6. I have previous non-profit experience

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* 7. Skills, interests, background:

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* 8. I would consider being on the CLEC Stewards Group Board.

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