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Vote for a New World
Please enter your name and birth date
*
Format: First-Last;Day-Month-Year(XX-XX-XX)
Please select your gender
*
Female
Male
Please select your option for leadership
*
Note: You can choose combinations of leadership among the choices listed (e.g. Henry and Maya). By selecting Other, you can write in another choice you prefer.
Henry
Luke
Maya
Beth
Not interested
Other :
Please select a duration period.
If you selected not interested above, please ignore this question
2 YRS
4 YRS
8 YRS
16 YRS
Please enter up to ten names and e-mail addresses
Format: First-Last;Address, with individuals separated by slashes (/)
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