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What's your name?
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2
Phone Number
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Area Code
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E-mail address
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Grade
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5
Section
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6
What do you think of the accomplishments and future goals of Statice Health?
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7
Why do you want to join this club and how do you think you can help us in our endeavours?
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8
What suggestions do you have, concerning our club and its future actions? How do you think we can improve Mauritiuss healthcare situation, on our level? What do you think the community needs?
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