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* 1. Full name

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* 2. Email address

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* 3. City, state, zipcode

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* 4. Would you be interested in being a Green Team volunteer at Bristol Rhythm & Roots Reunion in September? If so, we will send you info about volunteering opportunities in the summer.

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* 5. Would you like to be added to our eNewsletter list to learn more about Birthplace of Country Music programs and offerings?

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* 6. How did you hear about this program?

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