Please Submit RSVP By January 12, 2024

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* 1. First Name

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* 2. Last Name

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* 3. Cell Phone (in case we need to text you)

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* 4. Do you plan to attend the in-person LeadingAge Wisconsin Region IV Meeting from 12:00 p.m. to 2:00 p.m. on Friday, January 19, 2024 at 29 Pines Family Restaurant and Lounge (Located in Sleep Inn & Suites Conference Center - 5872 33rd Ave., Eau Claire, WI 54703)?

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* 5. PLEASE NOTE:  For those attending the in-person meeting, please plan to arrive between 11:45 a.m. - 12noon (if possible) to place lunch order (the soup/salad bar is no longer an option). As a reminder, the meal/beverage costs will be the responsibility of individual attendee.

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* 6. If you cannot attend meeting in-person, do you plan to attend remotely via ZoomReminder: In the hopes to lessen distractions & allow in-person attendees to get their meal, we plan to begin the Zoom at 12:15 p.m.

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* 7. Any additional comments or topics to discuss during meeting:

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