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Portland Raging Grannies Interest Form
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Your name
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Your answer
Your email address
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Your answer
Your street address (this will be used to match you with a Granny mentor in your general neighborhood)
*
Your answer
City (not all of us live in Portland!)
*
Your answer
Your zip code
*
Your answer
Your phone number (so we can contact you)
Your answer
Do you want to receive invitations to attend our meetings?
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Anything else you want us to know?
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