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Name of institution

Are you a Yes We Must Coalition member?

Check our list of members to make sure of your status: https://www.yeswemustcoalition.org/members.

Email of person fillng out form

Members 1–4

Cost for up to 4 team members: (YWMC members): $300 | (Non-YWMC members): $400

Name of first member

Title/Role of Member 1

Member 1’s School Email Address

Name of second member

Title/Role of Member 2

Member 2's school email address

Name of third member

Title/Role of Member 3

Member 3's school email address

Name of fourth member

Title/Role of Member 4

Member 4's school email address

Additional Members

Up to 2 at $75 each

Name of fifth member

Title/Role of Member 5

Member 5's school email address

Name of sixth member

Title/Role of Member 6

Member 6's school email address

Total Cost

Please also select this price in the PayPal section below if you are registering more than 4 members.

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