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REGISTRATION NONMANUAL MEMBERSHIP MEETING 2021 OCTOBER 2728, 2021 HARRISBURG, PAP lease use a separate form for each registrant. Attendee Information: Full Name (as it should appear on badge): Suffix:

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What is first or nickname as?

First or nickname is the first name or an alternative name used by an individual.

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Individuals who have a first name or nickname are required to report it on official forms.

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The information reported on first or nickname should be the name that an individual is commonly known by.

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