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* 1. Please select your interests. Check all that apply or select General (All) to get everything.

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* 2. First Name

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* 3. Last Name

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* 4. I want to receive emails from Emmaus. My email address is

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* 5. I want to receive texts from Emmaus.  My cell number is

Note about text messaging: Emmaus expects to send fewer than 6 texts a month. By sharing your number, you are opting in.

If are currently getting our texts and want to opt out, text STOP to 50155. 

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* 6. My preferred contact method is

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* 7. Bonus Question: It's not required, but sharing your address will help us make sure we are updating your file and not someone else's.

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