Women for the Land - NE Oregon sign-up

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* 1. Contact information

Name *

Address

City/Town *

State/Province *

ZIP/Postal Code

Email Address *

Phone Number *

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* 2. I would like to register for the following in-person learning circles:

Baker, OR June 22, 2023

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* 3. I have previously registered for a NE Oregon Women for the Land learning circle and do not need to complete the rest of this form

Yes

No