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Milwaukee Pipe Club Registration Form
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* Indicates required question
Email
*
Your email
Name (First and Last)
*
Your answer
Phone Number
*
Your answer
How Long Have You Been Smoking A Pipe?
*
Brand New!
1-5 Years
5-10 Years
10-20 Years
20+ Years
Tell Us A Little About Yourself
Your answer
What Would You Like To Get Out of The Club?
Your answer
Will You Be Able To Regularly Attend Meetings?
*
100% of The Time!
75% of the Time
50% of the Time
25% of the TIme
No, But I'd like to in the loop in case I can stop in
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