559: Callback

#mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }
/* Add your own Mailchimp form style overrides in your site stylesheet or in this style block.
We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */

#mc-embedded-subscribe-form input[type=checkbox]{display: inline; width: auto;margin-right: 10px;}
#mergeRow-gdpr {margin-top: 20px;}
#mergeRow-gdpr fieldset label {font-weight: normal;}
#mc-embedded-subscribe-form .mc_fieldset{border:none;min-height: 0px;padding-bottom:0px;}

* indicates required

First Name

Last Name

Email Address *

Gender *

Male
Female
Prefer not to say

Age

18-24
25-34
35-44
45-54
55-64
65-74
75 and up

FAVORITE TOPICS

Comics
References
Sci-Fi and Fantasy
Wrestling
Basketball
RPGs
Anime
Action & Adventure Films
Education
TV & Video
Other

//s3.amazonaws.com/downloads.mailchimp.com/js/mc-validate.js(function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[1]='FNAME';ftypes[1]='text';fnames[2]='LNAME';ftypes[2]='text';fnames[0]='EMAIL';ftypes[0]='email';fnames[3]='GENDER';ftypes[3]='radio';fnames[4]='AGE';ftypes[4]='radio';}(jQuery));var $mcj = jQuery.noConflict(true);

The Doctor AbrACEive Network

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