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2. First Name
3. Last Name
5. Email Address:
7. Address (where your market members card will be mailed to):*
9. City
10. State
11. Zip Code
13. By signing up for the market members info list, I give permission to have my contact information added to the Hamden Farmers Market weekly info blasts*

    1. I agree
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14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

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