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By completing this form, you are registering to attend the Town Hall meeting on Tuesday, January 12th. 

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your phone number?

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* 4. What is your email address?

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* 5. How many family members will be attending?

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* 6. Do you have any questions you would like to have addressed?

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