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This information is kept highly confidential.
We do not make a practice of giving out personal information on anyone on our mailing list.
If someone should need to contact you, we will send you their information and allow you to decide
whether or not you want to contact them.

Please fill in as many of these fields as possible.

First Name:
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Birthdate: (the year is optional) Month Day Year

Notify me of upcoming events by e-mail
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E-mail Format:
AOL Instant Messenger Buddy Name
ICQ Number:
Home Page Address:

Notify me of upcoming events by postal mail
(the flyer will be sent to your mundane name, not your nickname)
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City: State: Zip:

If you are updating your information on the mailing list, please note in the Comments box below what fields have changed. This will insure that your information gets updated as quickly as possible.
Thank you!

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