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   Prefix/Title :
* First Name :
* Last Name :
   Suffix :
   Place of Ministry :
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   by Franciscan Friars or Sisters?:
   Province/Congregation/SFO
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* Registered Voting Address :
  Registered Voting Address 2 :
* Registered Voting City :
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* Registered Voting Zip Code : -
  Same Information as Voting Address :
* Mailing Address 1 :
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* Mailing City :
* Mailing State :
   
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