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  • 2019 YOUNG PROFESSIONALS OF JAMESTOWN MEMBERSHIP REGISTRATION FORM

    Registration form to apply for 2019 membership with the YPJ.
    Name Block - Simple
    Please enter your first and last name.
    Address Block - US
    Please enter your preferred address.
    Please enter your preferred email address
    Please enter your preferred phone number.
    Please list your current place of employment.
    Please enter your job position &/or job title.
    Address of your employer.
    Please enter the billing address to which we will send the invoice for your membership.
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