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* 1. Name:

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* 2. State:

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* 3. Do you plan on attending the 2021 NCASG Conference?

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* 4. If you plan to attend, will you join us:

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* 5. How many people from your state will attend in person?

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* 6. How many people from your state will attend virtually?

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* 7. Would you like to be a presenter at the conference on behalf of your state?

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* 8. If so, what topic would you like to present?

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