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Joan Newkirk, Kevin Shute

Monday, May 10, 2021
2:00 PM 4:00 PM 14:00 16:00

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Date and Time

5/10/2021 from 2:00 pm- 4:00 pm

Name

First Name

Last Name

Email

Number of Counters

Address

Mailing Address (Please share if you don't yet receive mail from KELT. We would love to send you a thank you letter for counting!)

Address 1

Address 2

City

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Country

Phone

Phone Number (In case we need to get in touch with you about updates for the count)

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