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* 1. Are you available to attend the ASMAC National Specialty Society Summit - Thursday, March 28, 2019 in Washington DC

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* 2. Most recently, what topics are impacting your work and/or practice?

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* 3. What topics would you most like to learn about or discuss at the meeting?

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* 4. Are there any presenters you would like to hear from at this meeting?

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* 5. Would you like to host the ASMAC DC Meeting?

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* 6. Your Name

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* 7. Your Association/Society Name

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