Welcome

Name *

First Name

Last Name

Mobile *

Best for contact

(###)

###

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Postal Address *

It is important that this is your current primary place of residence

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How would you like to primarily be contacted? *

Phone Call

Text

Email

Tin can and a string

How frequently would you like to be contacted? *

Big rocks only

Only when decisions need to be made

Every step of the way

How do you prefer to do meetings? *

Zoom

In person

In person and onsite

Are you excited?

Yes

100%

Very excited!