Would you like to be part of the working group that creates this new organization?

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* 1. Would you like to be part of the working group that creates this new organization?

Please provide your name, organization, email, and phone number if you would like for us to contact you.

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* 2. Please provide your name, organization, email, and phone number if you would like for us to contact you.

Would you like to nominate someone who might like to help with this working group?

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* 3. Would you like to nominate someone who might like to help with this working group?

Provide the name, organization, phone number and email of the person that you think would like to participate with this group

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* 4. Provide the name, organization, phone number and email of the person that you think would like to participate with this group

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