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* 1. Name

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* 2. E-mail Address

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* 3. Are you a Richfield Resident?

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* 4. Richfield Rotary is seeking community input to help guide our priorities. Please rank the following possible areas of focus:

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* 5. Please list any organization(s) that might be interested in partnering with Richfield Rotary on a future project:

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* 6. Would you like to be contacted regarding future Rotary projects?

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