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* 1. How would you like to be recognized as a table sponsor (i.e.: "Corporation XYZ," "Dr. John Doe," "Anonymous," etc.)?

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* 2. Please include the following information for tax purposes.

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* 3. Please select your student sponsorship level below.

You will pay at the end of this survey.

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* 4. Do you know the names of the student(s) you wish to sponsor?

T