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Please use the form below to submit information for your profile page. Anyone who serves on the Jurisdictional level (Grand Officers, Directors, J-Reps, even committee members) should submit the form.
If you would like to see how information will be displayed (your social media links, email, photo, etc.) you can view this profile.

Name as you want it displayed:

My office(s)/title(s) for this year are:
list your state office, not what you are in your assembly

This is what I want for my 'about me' and I understand it will be posted exactly as I type it below including all spelling errors.

Please include a link to my Facebook
Here is my Facebook URL (be sure you include the "https://" before www.)
example: http://www.facebook.com/ashleyseick

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(if under aged) my parents e-mail address is