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Seniors n'Tech
Participant Registration Form
We look forward to welcoming you to class... please provide us with information about your tech devices and interests.
First Name
Last Name
Email
Phone
City & State of Residence
Site Location
Choose an option
Choose the devices you own:
Cell Phone
Tablet
Laptop
Desktop Computer
CELL PHONE
Choose Manufacturer
TABLET
Choose Manufacturer
LAPTOP COMPUTER
Choose Manufacturer
DESKTOP COMPUTER
Choose Manufacturer
Tell us about your technology interests and concerns you want to learn more about...
REGISTER
Thanks for registering!
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