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* 1. At my organization I am primarily a(n):

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* 2. What did you find most valuable today from the presentation:

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* 3. I would like a copy of the slide deck for reference:

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* 4. I would like to find out how much free money my organization qualifies for:

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* 5. I would like to discuss getting help procuring funds for current and prospective clients.

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* 6. Additional comments

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* 7. Name

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* 8. Title

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* 9. Company

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* 10. Phone

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* 11. Email

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* 12. Number of Employees

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* 13. I would like to schedule a 30 minute follow up call with Optimum.

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