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* 1. What is your name?

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* 2. What is your email address?

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* 3. What is your title?

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* 4. What is your institution?

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* 5. How did you hear about this event?

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* 6. Do you have any dietary restrictions?

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* 7. What topics would you most like to learn about or discuss at this event?

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* 8. In addition to email, would you like to receive additional information about the event by text or phone call?

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* 9. Would you be willing to present a 5 minute lightning talk about your work in Open Education and Open Access? (We will follow up with you to confirm by the start of April)

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* 10. Comments?/Questions?

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