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Please enter your contact 

information so you can be a member of 

JACK ATTACK LTPF

If you want to reach us, send an email to JACKATTACKLTPF@GMAIL.COM

 

Do you want to be a member of Jack Attack LTPF?

FULL NAME*

EMAIL ADDRESS

PHONE NUMBER:

MAILING ADDRESS

In the space below, tell us a story of how you are disabled, bullied or feel isolated.

 

You can have the chance to WIN a gaming system.

If you want to reach us, send an email to JACKATTACKLTPF@GMAIL.COM

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