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2. THIS FORM IS TO CONTACT ALL 230 RTM MEMBERS.

   THIS FORM IS FOR RTM MATTERS ONLY.  

   THIS IS NOT TO CIRCULATE ANY OTHER INFORMATION OR MATERIAL SUCH AS TAG SALES, HOUSE SALES OR POLITICAL INFORMATION 

4. Contact Us
6. First Name*
7. Last Name*
9. Address*
11. Are you an RTM Member?*

    1. YES
    2. NO
12. If Yes, what district are you in?
    -- Select One --123456789101112
14. Email Address*
16. Subject*
18. Message*
20. * indicates a required field
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field