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First Name
Last Name
Email Address
Confirm Email
Street Address
City
State
Zip
Home phone
Mobile phone
Birthday January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
T-Shirt Type Regular (Babydoll T-shirts were a special order and only available to members who signed up before February 28)
T-Shirt Size 2X-Large Medium Large Small X-Large
Are you a student? Yes No
School name
How did you hear about ASEDA?
Please explain
Are you willing to volunteer? Yes No If so, do you have any special skills or expertise that might come in handy to support ASEDA's mission? (For example: graphic artist, web programmer, event promoter, sound engineer, photographer, accountant, lawyer, etc., etc)