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Chatt*lab Member Application
Thank you for considering an application to become a Chatt*lab member. Please fill out the following application and we will get back to you shortly.
Legal Name *
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Street Address *
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City, State, Zip *
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Email address *
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Best number to reach you *
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Who would be your emergency contact?
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What is your emergency contact's number?
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What is your T-shirt size
How did you hear about Chatt*lab?
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Can you tell us a little about yourself?
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I understand that membership is $50 per month *
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