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Keystone Retriever Club
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First name
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Last name
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Email
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Cell Phone Number
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Will you be bringing any guests OTHER THAN YOURSELF? How many and name of each guest
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Will you bring items to donate for the silent auction? YES/ NO
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Did you earn a free meal for this event by volunteering to work one or both of our Hunt Tests in 2025? YES/NO
SUBMIT
January Banquet / Annual Membership Meeting (1)
Jan 17, 2026, 3:00 PM – 8:00 PM
Fairview Bethel Community Outreach Cntr
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