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SVCC Membership Form
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Email
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Your email
I am joining as a:
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Representative of a community organization
As a community member
Name of Organization - if applicable
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First name
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Last name
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Your job or volunteer title - if applicable
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Telephone # (will NOT be made public). include area code.
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Address - include street, city, zipcode (will NOT be made public)
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email address (will be made public)
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website address - if applicable (will be made public)
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