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* 1. Would you like to volunteer to help or just stay updated?

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* 2. If you volunteer to help, would you like to be added to an email list for opportunities? If not added to the email list we will have no other way to notify you of opportunities. 

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* 3. If you choose to stay updated, do you authorize us to send emails to you through our HMW email list?

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* 4. Name

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* 5. Contact Number

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* 7. Affiliate Organization

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