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* 1. Which of the following topics would be beneficial to your business? (Please check all that apply.)

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* 2. Which of the following times would work best for your schedule? (Please check all that apply.)

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* 3. What is your current role within your organization?

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* 4. How interested are you in being one of the sponsors for an upcoming education event?

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* 5. If interested in potentially being one of the sponsors, please complete the following information.

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* 6. Do you have any other feedback for our planning committee regarding topics, speakers, venues, etc.?

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