Can Do MS Subscriber Preferences

Please note, required fields are marked with an asterisk * 

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* 1. Primary Email Address

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* 2. First and Last Name

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* 3. Zip Code

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* 4. Address and Phone

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* 5. Birth Date

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* 6. How would you most like to receive additional information regarding our organization?
Please select all that apply.

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* 7. What type of news would you like to see from us? Please select all that apply.

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* 8. Please rate our communication level.

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* 9. How did you hear about Can Do Multiple Sclerosis?

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* 10. Please select any programs, events you have participated with us in the past? Please select all that apply.

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* 11. Do you have any other communication requests?

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