Tell us about yourself

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* 1. Name (you may provide a username if you prefer not to disclose your full name)

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* 2. Email Address

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* 3. City

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* 4. State

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* 5. Country (Note: UK and AU residents, please email information@smartrecovery.org regarding training contacts in your country)

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* 6. Please share a bit about yourself, including how you found SMART, why you desire to start a discussion meeting, and anything else you wish to share.

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