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First Name *
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Last Name *
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City *
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Phone Number *
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What's your birthday? *
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How many adults are in your household? *
If you have children in your household, please share with us their names and birthdays.
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Co-Creator Benefits / Membership Levels outlined below:
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Shortly after submitting this form, we will send you an invoice. You can pay by check, credit card, or PayPal. How would you like to pay? *
Open Temple has a 501c3 fiscal sponsor. Please let us know if this donation is eligible for matching by your employer. We will contact you to follow up. *
Finally, please share which types of Open Temple happenings and activities are of interest to your household.
A copy of your responses will be emailed to the address you provided.
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