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Jeffrey Tupper Licenses
Kansas License #4884169
Colorado License #448739
Missouri License #179159
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In-PERSON
Registration Form
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Name
*
First
Last
Email Address
*
Mobile Phone
*
Spouse/Partner Name
First
Last
like for Guest
Guest 1 Name
First
Last
Guest 2 Name
First
Last
I would like to attend the event on:
*
Thursday, February 27th at 6:00PM
I understand I am registering for the in-person event.
*
I understand I am registering for the IN-PERSON event.
REGISTER
