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* 1. Name

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* 2. Chapter

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* 3. Email Address

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* 4. Phone Number

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* 5. Company Name

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* 6. Which AFWA Committee(s) would you like to serve on? (Choose up to 3)

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* 7. Which Foundation of AFWA Committees would you like to serve on? (Choose up to 3)

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* 8. Are you interested in being a chair or vice chair of one of our committees?

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* 9. I am not sure what committee I want serve on so add me to any committee where I am most needed.

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* 10. I don't have time for full committees but would be willing to serve on an Ad Hoc committee or Task Force.

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* 11. What talents or specialties do you have that can benefit the organization?

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* 12. Do you have any other comments, questions, or concerns?

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