RMHCCIN Pop Tab Collection Sign-Up
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Name (first and last)
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Your answer
If under 18 years of age please provide parent or guardian name
Your answer
Email (if under 18 please provide parent/guardian email)
*
Your answer
Phone number (if under 18 please provide parent or guardian phone number)
*
Your answer
Are you organizing your collection indpendently or with a group?
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Individually
School
Girl or boy scout troop
Office
Other:
If you are collecting as a group, please provide group name
Your answer
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