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| 1.Is your organization non-profit?* |
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| 2.If non-profit, please enter your tax ID (for verification purposes only) |
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| 3.Are you informing us about an event or seeking a speaker for an event?* |
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| | Informing us of an eventSeeking a spaker |
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| 4.What is the date and time of the event? |
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| 5.Where is the event? |
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| 6.Please provide a BRIEF description of the event. |
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| 7.Will a specific individual or group be honored or celebrated at the event? * |
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| | Yes, a person |
| | Yes, a group |
| | No |
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| 8.If yes, who and why? |
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| 9.Will there be other presenters at this event? * |
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| 10.If yes, who? |
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| 11.Approximately how many people do you expect to attend? |
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| 12.What is the website for the event or event organizers? |
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| 13.Please provide contact name, number and email address for the event or an event organizer. |
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