Get Up Stand Up: Cure Paralysis, Membership Sign-Up
This list will help us identify our member base, represented legislative districts, active, and potentially active members. Membership is free. This is a private list and will not be sold or shared with other organizations. Even if you are active with us please fill out this form as it will help us log and database your involvement/ skills. IMPORTANT: LOOK UP YOUR LEGISLATIVE DISTRICT BEFORE STARTING THIS FORM TO AVOID DELETING YOUR ENTRY HERE: http://www.gis.leg.mn/OpenLayers/districts/
First Name
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Last Name
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Email
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Phone Number
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Street Address
By providing us your address we can identify your elected officials.
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City
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State
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Zip Code
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Country, if not USA
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State Legislative District
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State Senate district
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US Legislative District
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Relation/ Interest with GUSU
Are you Interested in Being Active with Research Legislation
MN Spinal Cord and Traumatic Brain Injury Research Grant Bill and National Issues
Are you Interested in Being Active with Research Fundraising
Event Planning, Raising Funds for Spinal Cord Injury Research
Are you Interested in Being Active with Fitness and Wellness
We are interested in creating a low budget co-op gym.
Are you Interested in Helping/ Volunteering with GUSU
Attending planning meetings, helping in various ways
If Interested Add your Interests/ Special Skills
Let us know how you would like to help our organization. (Ie: Legislation, Marketing, bringing tasty treats to meetings)
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Questions/ Comments/ Suggestions
Anything
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How did you hear about Get Up Stand Up: Cure Paralysis
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Do you want to receive GUSU email updates?
On our Latest News, Legislative Efforts, Events, and Achievements
Do you want to receive other Spinal Cord Injury updates?
Local/ Some National: Research Lectures, Conventions, Meetings, Fundraising
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