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National Dialogue on Workplace Flexibility
2.
Registration
Please register to attend the National Dialogue on Workplace Flexiblity held on Tuesday, February 28, 2012 at MEDB's Malcolm Center, Suite 5 1305 N. Holopono St., Kihei, HI 96753 from 9:30 a.m. - 12 p.m.
*
1.
NAME:
(Required.)
First
Middle
Last
*
2.
Company Name
(Required.)
3.
MAILING ADDRESS:
Mailing Address:
City:
Zip:
*
4.
Island
(Required.)
Big Island
Kauai
Maui
Oahu
Other (please specify)
*
5.
Gender
(Required.)
Male
Female
*
6.
Email
(Required.)
*
7.
Business Phone + Extension
(Required.)
*
8.
Industry Sector
(Required.)
Clean Energy
Community Organization
Construction
Education
Finance and Real Estate
Government
Healthcare
Professional Association or Union
Restaurant and Hospitality
Retail
Technology
Comments (if "other", please specify)
*
9.
Size of Business
(Required.)
10 and under
25 and under
50 and under
Greater than 50
