Contact information

Attendees

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Last name

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Phone

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Email address

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Address

Address

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Apartment, suite, etc. (optional)
City

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Additional details

Each attendee will have to fill out a RSVP form. If you have any questions, please contact lauren@habitatlacrosse.org.

If you provided your work address above, please share your home address (or vice versa).

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Affiliate Name

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Role as Affiliate

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Are you willing to be a legislative meeting facilitator?

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Lunch options include soup, sandwiches (including a vegetarian option), and salad bar. Do you have a special meal request?

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