Beth Wiseman Street Team Application

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Full Name, First, Last *

Preferred email address *

Mailing address street # or P.O. Box # *

City, State, Zipcode *

Facebook link *

Are you currently a member of another street team? *

If so, please list all.

Do you have a digital camera and ability to post pics to social media? *

Yes

Why do you want to be a member of the Beth Wiseman Street Team?

Do you have other readers in your home? Ages? *

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