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Feminine Station Form
1
Interested in a Feminine Station at your Location?
Leave Your Contact Info HERE!
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2
Location
Which Location Are You Scanning From
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BingeBarDC
Fillmore Arts School
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BingeBarDC
Fillmore Arts School
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3
Does this Location Need a Refill?
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4
Day Visited:
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5
Quality of Feminine Station
Tell Us How Good it was ... or wasn't!
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6
Email
Only if you want to be connected with our community events and retreats!
example@example.com
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7
Any comments, questions or suggestions?
Tell Us How to Be More Intentional!
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