CAT Delegate Application

Contact Information

MRC is seeking delegates to represent Indian River Lagoon communications interests at the upcoming Communications Assembly scheduled for August 17 & 18. Delegates are selected based on their areas of specialization. If you are interested in being a delegate at the Assembly, you must apply and be confirmed. Please complete this short application and we will be back in touch with you with a final determination.

Question Title

* 1. Please enter your contact information

Name *

Address *

Address 2

City/Town *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. What type of organization do you represent? (Select one primary type)

Academia

Advertising

Ecotourism/tourim

Government

Marketing

Newspaper

Nonprofit

Public School (K-12)

Radio

Television

Other (please specify)

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* 3. What is the primary area you serve in the lagoon watershed?

Lagoon-wide

Brevard County

Indian River County

Martin County

St. Lucie County

Volusia County

Other (please specify) or enter City here

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* 4. Why would you be a good delegate to have at the Communications Assembly? Specifically, how will you help implement the outcomes of the Assembly and what can you contribute to the working sessions?