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SWVA Official Registration

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*First name

*Last name

*Arbiter Email

*Phone

*Birthday

Month

Day

Year

Address

*Country/Region

*Address

*City

*Zip / Postal code

Contact

116 Townsend Ave

Shelbyville, TN

Brett Whaley: 931-981-8627

Steve Channell: 615-427-0653

brettjwhaley@gmail.com

stevechannell@gmail.com

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