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4. First Name*
5. Last Name*
7. Street Address*
8. Phone Number*
10. City*
11. State*
12. Zip Code*
14. Email Address*
18. What is your experience within this sector?*
20. Why do you want to serve on this committee?*
22. What unique perspective do you think you would bring to this committee?*
24. Would you be able to meet on a quarterly basis for a full year?*

    1. Yes
    2. No
26. What dates/times would you be unavailable to meet?*
28. What is one idea that you have for improving the DMV?*
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