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* 1. First name

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* 2. Last name

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* 3. Email address

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* 4. Phone number

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* 5. Please let us know if there are any accomodations that will support your participation in this event.

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* 6. Are you interested in receiving a copy of Eugene Steuerle's book? Copies of Dr. Steuerle's book will be distributed to the first 40 registrants who indicate interest thanks to the generous support of the Greater Twin Cities United Way.

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