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Name / Nombre
E-Mail / Correo electrónico
Questions and/or Comments? / ¿Preguntas y/o comentarios?
Phone Number / Número de teléfono
Are you 17 or older? / ¿Tienes 17 años o más?
Are you 17 or older? / ¿Tienes 17 años o más?
Yes/Sí
No
Have you or an immediate family member worked as a migrant or seasonal farm worker? /¿Ha sido usted o un familiar inmediato un trabajador agrícola o de temporada?
Have you or an immediate family member worked as a migrant or seasonal farm worker? /¿Ha sido usted o un familiar inmediato un trabajador agrícola o de temporada?
Yes/Sí
No
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