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Application Deadline: Friday March 23, 2012.

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* 1. First Name

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* 2. Last Name

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* 3. Title

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* 4. Address

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* 5. City

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* 6. State

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* 7. Zip Code

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* 8. Telephone

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* 9. Email

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* 10. I am a:

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* 11. Please describe your appointed/elected position and what types of planning/development/urban design you are involved in:

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* 12. Are you a member of the the Congress for the New Urbanism?

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* 13. What do you know about CNU?

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* 14. What have you achieved so far related to New Urbanism?

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* 15. What do you hope to learn at CNU 20 in West Palm Beach?

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* 16. Following CNU 20, how do you see yourself applying what you have learned?

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