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* 1. Please enter your name.

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* 2. Please provide your email address.

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* 3. Where are you located?

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* 4. What is your relation to the I/DD community?

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* 5. Are you connected with a chapter of The Arc?

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* 6. If yes, which chapter? (If no, skip this question.)

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* 7. What sort of volunteer work are you interested in?

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* 8. Optional: How did you learn about #TheArcVotes?

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