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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. Can you attend the Upward Scholars Conversation Club on July 20th from  7:00 to 9:00 p.m. at Sequoia Adult School in Menlo Park?

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