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* 1. What is your name?

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* 2. Any changes to your contact information?

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* 3. If so, what are they?

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* 4. How would you like to make your membership contribution (include all that apply)?

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* 5. Is there anyone in your network you’d like to invite to the PRIDE Circle?

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* 6. Are there any queer-owned businesses, services, or organizations that you would like to highlight?

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