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* 1. What is your name?

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* 2. What is the name of your business or organization?

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* 3. What is your age?

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* 4. What is your phone number?

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* 6. What is your Facebook handle?

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* 7. What would you like to get out of joining Shelby NextGen Connect?

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* 8. Do you have any ideas or suggestions for Shelby NextGen Connect?

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* 9. Have you attended any previous events with us? If so, what did you like or what would you change? (Select all that apply)

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