Event Information & Registration Details

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* Your Name:

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* 1. What is the name of this event?

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* 2. Has your manager provided approval to attend this event?

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* Is there a specific document or form needed for registration?  If so, please upload here:

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File
No file chosen

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* If there is an additional document or form that's important, please upload here:

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File
No file chosen

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* 3. Who will be attending this event from EWL?

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* 4. When does this event take place?

Start Date
End Date

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* 5. Where will the event be held?

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* 6. What is the expected number of attendees at this event?

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* 7. How should this event be classified? (based on the host organization and the PRIMARY attendees/audience, ie: doctors, NCMs, adjusters, etc. - NOT based on the EWL employees going)

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* 8. What type of attendance will this be?

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* 9. What type of event is this based on the following descriptions? (NOT based on what the event itself is called)

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* 10. Requested Booth Location / Number - please list top 3 choices (if none are requested, booth selection will be chosen at random):

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* 11. What is the Registration Cost for the event?

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* 12. Who is the Target Audience for the event?

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