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계정 유형
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기본 연락처 이름
기본 연락처 성
성별
-- Select --
Female
Non-Binary (prefer female housing)
Male
Non-Binary (prefer male housing)
required
기본 전화
집 전화
데이폰
휴대폰
다른
주소
도시
국가
Canada
Germany
United States
주/도
-- Select State / Province --
Alabama
Alaska
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
D.C.
Delaware
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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비밀번호:
Please list your county
Out of State
Androscoggin
Aroostook
Cumberland
Franklin
Hancock
Kennebec
Knox
Lincoln
Oxford
Penobscot
Piscataquis
Sagadahoc
Somerset
Waldo
Washington
York
City Size
Select One
1 - Farm
2 - Towns under 10k
3 - Towns over 10k under 50k
4 - Suburbs of cities over 50k
5 - Central cities over 50k
Is this participant a 4-H member?
(Required)
Yes
No
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