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* 1. What topics would you like to learn about or discuss at Synergis University 2015?

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* 2. Are there any specific speakers you would like to hear from at SU15?

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* 3. Would you be interested in speaking at SU15? If so, what topic would you like to present?

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* 4. Let us know any other comments or requests we should take into account as we plan for Synergis University...

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* 5. If you would like to discuss further or if you have opted to speak, please fill in the following information so we can contact you to discuss.

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