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* 1. New Captain or Updating Existing Captain?

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* 2. First Name and Last Name

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* 3. Captain Type

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* 4. Your Region?

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* 5. What is your District Number?

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* 6. What is your Store Number?

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* 7. Please add your email address

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* 8. Please add your best phone number for contact

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* 9. Community Captain Tenure?

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