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* 1. What is your name?

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* 2. Are you a...

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* 3. Why do you think that the Arduino Bootcamp for teachers might be useful to you?

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* 4. What is your email address?

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* 5. What is your location?

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* 6. Can Peter contact you in the next couple of weeks in order to schedule a video meeting to discuss your Bootcamp options?

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* 7. Anything in particular that you would like Peter to consider before contacting you?

If you wish to schedule a Bootcamp discussion meeting, please use this form to do so right after submitting this form: https://calendly.com/peterdalmaris/30min/12-20-2017

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