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Infusion Chapter Host Registration

This form is only so I can reach Infusion Hosts if necessary. You won't be added to any email lists, and your information won't be used for any other purpose.
Note: Infusion chapters may only promote public and community resources. Profit-based organizations, like individual clinics, consultants, or companies will not be accepted.
First, check the list of existing Infusion chapters. If one is active for your area, please visit it and connect with the organizer, rather than registering here.

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