MPATL Group Member Details
This form is to collect information for MPATL community members for effective future communication and WhatsApp Group management. This will help us manage the events and related communication.
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Name *
US phone number *
WhatsApp number *
Native place/city of MP *
Current residence city *
Residence zip code *
Email Address *
Spouse name
Spouse contact number
Who referred you to this group? *
Did you attend any past MPATL events *
Would you like to Volunteer for any future MPATL events and acitivities *
Please confirm to following: *
Required
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This form was created inside of Madhya Pradesh Association of Atlanta.

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