Pick times that would work for you to meet for our monthly coalition meetings (1 hour in length)

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* 1. Please enter your name

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* 2. Do you want to continue meeting on the 2nd Tuesday of every month from 5:30-6:30 p.m.?

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* 3. What day/days works for you during the week? (Please select all that apply.)

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* 4. What time of day works best for you? (Please select all that apply.)

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* 5. Please let us know dates and times that WILL not work for you due to other obligations.

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* 6. Comments

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