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Interest Survey - Dallas

Thank you for taking the time to complete this form!
We will contact you soon about the upcoming Dallas Walk.
If you have any questions, you can reach us at our toll-free Walk Hotline, 1-866-WALK-ALR (925-5257).

Question - Not Required - I would like more information about:

	Serving on a Walk Planning Committee
	Soliciting potential Corporate Sponsors
	Reaching out to other families touched by lupus
	Participating as a Team Captain, Walker, or Walk-Day Volunteer

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Question - Required - What is your lupus connection?

	I have lupus
	A family member has lupus
	A friend's family is touched by lupus
	A co-worker's family is touched by lupus
	I work professionally with those touched by lupus
	I have no lupus connection

How did you hear about the Alliance for Lupus Research?

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