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<style type="text/css">
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<div id="mc_embed_signup">
<form action="https://hillelatbinghamton.us2.list-manage.com/subscribe/post?u=c2989ff1fb918a5996f32d002&amp;id=ced69ca48e" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate>
    <div id="mc_embed_signup_scroll">
    <h2>Subscribe</h2>
<div class="indicates-required"><span class="asterisk">*</span> indicates required</div>
<div class="mc-field-group">
    <label for="mce-EMAIL">Email Address  <span class="asterisk">*</span>
</label>
    <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL">
</div>
<div class="mc-field-group">
    <label for="mce-FNAME">First Name </label>
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<div class="mc-field-group">
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    <div id="mce-responses" class="clear">
        <div class="response" id="mce-error-response" style="display:none"></div>
        <div class="response" id="mce-success-response" style="display:none"></div>
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    <div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div>
    </div>
</form>
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<script type='text/javascript' src='//s3.amazonaws.com/downloads.mailchimp.com/js/mc-validate.js'></script><script type='text/javascript'>(function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[0]='EMAIL';ftypes[0]='email';fnames[1]='FNAME';ftypes[1]='text';fnames[2]='LNAME';ftypes[2]='text';fnames[3]='ADDRESS';ftypes[3]='address';fnames[4]='PHONE';ftypes[4]='phone';fnames[5]='LGL_SAL';ftypes[5]='text';fnames[6]='LGL_ID';ftypes[6]='text';}(jQuery));var $mcj = jQuery.noConflict(true);</script>
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