2019 Corporate Counsel Institute Speaker Survey

Name and Bio

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* 1. Speaker's First Name:

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* 2. Speaker's Last Name:

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* 3. Assistant's Information (if applicable)

Name

Email Address

Phone Number

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* 4. What is the status of your biographical sketch?

Please use the one Northwestern Pritzker School of Law has on file and was emailed to me (if applicable).

I will upload a new one on the next page.

11% of survey complete.