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WIN $100 by being the lucky winner!  Just complete the sheet and when we hit 100 verified sign ups on this new info sheet, someone will win!  

WIN $200 by being the person who referred the most people who sign up!  

To qualify for this promotion, the registrants must be in or near the Maricopa County, Arizona area.

Thank you for your interest in this exciting and ambitious project.  We are all in this together.

Our working goals are as follows:

Build and enhance lifelong friendships, maximize the nature and benefit from our connections to one another, form groups with purpose, raise awareness of peaceful society alternatives, improve the standard of living, develop and publish best practices for critical aspects of a thriving community.

We are inclusive and we love to work together towards a better life for our members, communities and for all of mankind.

Please fill out as much information as you can so we can best serve you.  None of this information will be shared outside of the core facilitation team at  
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Email *
Name *
Are you looking to be connected with others nearby to you who are participating in mutual aid? *
Phone number
Major Cross Streets at Home
Home Address
Major Cross Streets at Work
Needs (things people can help you with)
Skills and Talents (gardening, carpentry, health, computers, home schooling, etc)
Personal Interests / Development Goals
If someone referred you, who was it?
How many people in your household?
Please share some of your concerns about Society and Humanity
Why are you excited about building a Mutual Aid Society?
We need help facilitating mutual aid.  Everything from making phone calls and PM messages to organizing groups or giving workshops!  Are you interested in volunteering to help us facilitate effective mutual aid?  If so, how many hours a month can you be available?  
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