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Public Information Sign-up Sheet

Public Information Sign-up Sheet

for members willing to Serve on

the District PI Committee

If you are willing to be a member of the

PI committee, give your name, telephone number, sobriety date, email

address and your district. Your local Public Information contact person

will contact you for more details.

   
Name:

Phone

Number:

Sobriety

Date:

Email

Address:

District: