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Please check all that apply. For Speaking Engagements and 3rd Party fundraisers, please include intended date, time, and location in the Comments section.

I want to be a member of Gilda’s Club.

I want to volunteer.

I want someone to speak about Gilda’s Club at my community organization, church, school, etc.

I want to conduct a 3rd party fundraiser for Gilda’s Club.

Just wanted to say "hi!"

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