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* 1. What is your full name?

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* 2. What is your best email address?

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* 3. What is your physical mailing address?

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* 4. What is your best daytime telephone number?

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* 5. What is your best evening telephone number?

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* 6. How certain are you that you will/can be available for the first week of September? Please share any considerations you have here.

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