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1. Your Name (Required.)

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2. Your email: (Required.)

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3. Your phone number: (Required.)

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4. Will you be attending the retreat?

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5. How much $$ are you willing to spend per night on a room? (Required.)

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6. Are you interested in sharing a room?

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7. Please list in order of importance to you (1=most important)

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8. How long would you be willing to travel from Denver?

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9. Will you be renting a car or will you need transportation?

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10. What topics would you most like to learn about or discuss during the retreat?

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11. Anything else that's important to you?

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