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Welcome to the AAAA Membership Survey!  
    
Instructions:  Please complete all of the items below and, for each question, indicate whether or not you want the information to be included in the new Directory.   If you select "Do NOT include this information in the Directory", that item will NOT be included in the AAAA Membership Directory.  Feel free to leave any item blank.  If you can't complete the survey in one sitting, you can return to it later to complete it but you must do so from the same device you initially used in order to avoid a duplicate submission. 

The deadline for completing this survey is October 11, 2021

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* 1. First Name

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* 2. Last Name

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* 3. Spouse/Partner First Name

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* 4. Spouse/Partner Last Name

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* 5. Business Name (If Applicable)

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* 6. Address

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* 7. City

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* 8. State

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* 9. Zip Code

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* 10. Home Phone

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* 11. Cell Phone

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* 12. E-Mail Address

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* 13. Web Site

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* 14. NEW FEATURE!  You can include a photo as part of your listing in the directory.  This is totally OPTIONAL.

PNG, JPG, JPEG, GIF file types only.
Choose File

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* 15. Are you willing to consider permitting scheduled visits from other AAAA members to see your collection? Responding "Yes" does NOT obligate you to grant permission for a visit. You are free to decline any request for any reason.

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* 16. To help direct AAAA members with similar interests to you, please check ALL of the following collecting categories that are well-represented in your collection.

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* 17. Do you collect specific product brands? (for example, Pepsi-Cola).  If so, please list below.

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* 18. Comments/Questions?

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