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1. Will you be attending this event?

2. What is your first name?

3. What is your last name?

4. In what city do you live?

5. What workshop(s) are you interested in attending? Please choose two.

6. Will you be joining us for a light lunch?

7. Number of attendees, including yourself:

8. If you are bringing four or more guests, please specify how many and what organization you represent, if applicable.

9. Please provide your email address for follow-up information about this event.

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