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All (*) must be filled in, we can accept two names if submitted for a couple.
For changes we require your RSNV id. This will be sent to Art Plant
Name1
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Last
Name2
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First
Last
Street Address in the Villages
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What Village
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(Name1) Home Town & State
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(Name2) Home Town & State
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Option 1, Full Time in The Villages
Option 2, Part Time, in The Villages
If Part Time What Months in The Villages (example: 1,2,3,4,5,6,etc)
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