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I want to join the 5,000 Strong!
Name
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First Name
Last Name
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Region
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East Lane
Eugene Area
McKenzie River
North Lane
South Lane
Springfield Area
West Lane
Outside Lane County
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If you are not sure what region you live in, find your zip code at the bottom of the page and select the corresponding region. Not a Lane County resident? Select "Outside Lane County"
Organization
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Mailing Address
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Address Line 1
Address Line 2
City
State
Zip
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While not required for joining 5,000 Strong, if you provide your address, we will send you a collectable sticker!
Phone
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Email
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I commit to the following to support 90by30
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Like&Share 90by30 on Facebook
Follow 90by30 on Instagram
Receive 90by30's e-newsletter
Volunteer my time and talent
Invite 90by30 to Present
Share with Friends and Family
Attend a meeting near me
Volunteer for a Strategy
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Check all that apply! Strategies include Welcome Baby Bundle, Roots of Empathy and Parent Cafés. You can also volunteer your time and talent in other ways, including knitting hats for Welcome Baby Bundles or behind-the-scenes work at the annual conference!
Consent to Public Recognition?
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Yes
No
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If you do not wish to be publicly acknowledged for your contribution/commitment through our website, newsletter or other publications, please select No. If you select Yes or leave this field blank, you agree to public acknowledgment as outlined above.
How did you learn about us?
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Any additional comments?
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