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CBE Adult Member Sign-up
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* Indicates required question
Your first and last name/ Tu nombre y apellido
*
Your answer
Email/ Correo electrónico
*
Your answer
Phone Number/ Número de teléfono
*
Your answer
Which city do you live in? ¿En qué ciudad vives?
*
Your answer
Preferred Pronouns/ Pronombres preferidos
*
she/her/ ella
he/him/ el
they/them/ ellos
Required
Would you need English to Spanish translating?
*
Yes/Si
No
Any questions, concerns, or comments?¿Alguna pregunta o comentario?
Your answer
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