Archive:Chapter registration form

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  • School name:
  • Contact name:
    • Address:
    • Email:
    • IM:
    • Mobile phone:
    • Non-mobile phone:
  • Chapter name:
    • Contact info:
      • Homepage:
      • Blog:
      • Wiki:
      • Mailing list:
    • Number of members (people who attend meetings):
    • Number of core team members (people who do work):
    • Are you registered with school? Yes/no
    • Do you have a budget? Yes/no
    • How big is your budget? (Give an estimate/range if you're not sure)
  • Stuff you want (check boxes):
    • Free Culture t-shirts
    • Creative Commons
    • Electronic Frontier Foundation
    • Public Knowledge