January (1/13) Membership Meeting Registration

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January (1/13) Membership Meeting Registration

Please fill out this form to register for the January (1/13) Membership Meeting.

We require BPS ID # as it helps us verify membership. Please be sure to enter your exact ID #.

In the case that you do not have one (For example: you are retired) please enter "000000"

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BPS ID#: *

Your answer

Last Name: *

Your answer

First Name: *

Your answer

Personal (NON-BPS) Email: *

Your answer

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