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* 1. Your contact information:

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* 2. Where are you located? (e.g., Austin, TX., or Portland, OR)

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* 3. Would you like to attend an event

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* 4. My primary responsibilities for my company are (check all that apply):

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* 5. I need the following continuing education credits:

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* 6. Are there any specific topics you would like to learn more about? (choose all that apply)

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* 7. Are you searching or planning to issue an RFP for any of the following services in the next 12 months?
(Check all that apply)

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* 8. How did you hear about the Retirement Plan Road Show?

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* 9. If you have any additional comments, questions, or feedback, you may enter it below (optional):

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