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Assistance League - Southern Utah
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New Member
New Member
Please complete if you would like to join:
Name
*
First
Last
Home Phone
Cell Phone
Email
*
I am interested in joining as a Voting / Non-Voting member:
*
Voting
Non-Voting
I am most interested in volunteering in the following areas:
Were or are you a member of another Assistance League chapter?
*
Yes
No
Which chapter?
Will Southern Utah be your Primary chapter?
Yes
No
Submission Date
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