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* 1. First Name

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* 2. Last Name

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* 3. Company

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* 4. Job Title

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* 5. Email

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* 6. Zip Code

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* 7. Mobile Phone

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* 9. Company/Department Description: 3-4 sentences that describe your company, industry, products, and services, clients, or similar information. 100-word limit.

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* 10. Professional organizations that you are a member of (select all that apply.)

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* 12. In what US Region do you primarily plan events? (select all that apply)

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* 13. What international region(s) do you primarily plan events in? Please select a current or future location.

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* 15. What type of meetings do you primarily plan annually?

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* 18. Types of hotels/venues at which you primarily plan meetings?

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* 19. Do you have an active RFP(s) to source at this event?

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* 21. Please provide the names of two of your clients (i.e., Jane Doe, Smart Meetings). If you are not a 3rd Party Planner, please enter NIA. Information is for application qualification purchases only and will be kept private. Contacts will not be published.

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* 22. Tell us the last meeting you planned - date, name of hotel, city, and state:

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* 25. As a meeting professional, what are your main interests as they relate to planning?

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* 26. Do you use the services of a CVB

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* 29. (a.)

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