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* 1. What is your (preferred) name?

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* 2. What pronouns do you use?

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* 3. Email:

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* 4. Mailing Address:

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* 5. Phone Number:

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* 6. Who is your employer, if applicable?

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* 7. Other skills/interests/groups that you want to share:

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* 8. Date of Birth (for ID purposes at evening events):

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* 9. How do you identify?

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* 10. Other identity descriptions:

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* 11. Your membership can include one other person. If so, please let us know:

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* 12. As a member, you will automatically receive our PRIDE Circle newsletter with monthly highlights, news, and updates. Do you wish to be featured in our listing of queer-friendly services and service providers?

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* 13. How would you like to be listed:

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* 14. How would you like to make your membership contribution (include all that apply)?

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* 15. What are your particular areas of interest for our community?

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* 16. Why are you joining the PRIDE Circle?

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* 17. Is there anyone in your network you’d like to invite to the PRIDE Circle?

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* 18. Are there any queer-owned businesses, services, or organizations that you would like to highlight?

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* 19. Would you consider yourself intermediate to expert level at any of the following skills/fields, and would you be willing to share them with the PRIDE Circle network?

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