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Please complete this form to attend an information meeting or to request an individual appointment in either Salem or Redmond.
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First and Last Name *
Email Address *
Portland Center Meetings (6:00 p.m.)
Information meetings held at the GFU Portland Center
Salem Center Meetings (6:00 p.m.)
Information meetings held in Salem, Oregon at Broadway Coffeehouse
Redmond Center Meetings (6:00 p.m.)
Information meetings held in Redmond, Oregon at Ridgeview High School
Which program are you interested in? *
Required
How were you referred to the MAT program at George Fox? *
Required
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