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2019 C.A.R.E. Network Membership Form
Thank you for taking the time to fill out this information for us.
Name: *
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Address: *
{This will be used in the event we need to mail things to our members.}
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Primary phone number: *
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Alternate Phone Number
Cell, office, home - whichever is the 2nd best way to reach you!
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Primary Email: *
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Alternate e-mail:
Sometimes things get bounced into spam ~ If you have another email address, let us know.
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Would you like to receive CARE updates and reminders about meetings? *Please note - we will not be using the Yahoo group moving forward in 2019* *
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