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* 1. Contact Information

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* 2. Select One:

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* 3. Assets Under Management

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* 4. Do you have a client attending the conference?

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* 5. May we know who the client is?

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* 6. How did you hear about the conference?

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* 7. Please list at least three philanthropic references (e.g. foundations, donor-advised funds)

Thank you for your interest in our 7th Annual Practitioners Gathering in New Orleans. We will try to respond promptly to your attendance request. If you have any questions please feel free to contact angela@confluencephilanthropy.org.

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* 8. Is your organization a member of any of the following organizations?

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