What kind of convention swap are you interested in?

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* 1. What kind of convention swap are you interested in?

What is the name of the Organization that you represent?

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* 2. What is the name of the Organization that you represent?

What is the name of your main contact?

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* 3. What is the name of your main contact?

What is the main contact's email address?

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* 4. What is the main contact's email address?

What is their position within the organization?

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* 5. What is their position within the organization?

Please provide a contact (Name/Phone number or E-mail) within your organization that can be used to confirm the main contact's information

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* 6. Please provide a contact (Name/Phone number or E-mail) within your organization that can be used to confirm the main contact's information

What is the name and contact information for the person that PittJC would reach out to secure a reciprocal table swap?

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* 7. What is the name and contact information for the person that PittJC would reach out to secure a reciprocal table swap?

What is the deadline for your swap? 

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* 8. What is the deadline for your swap? 

Name of Individual #1 Representing Your Event

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* 9. Name of Individual #1 Representing Your Event

Name of Individual #2 Representing Your Event

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* 10. Name of Individual #2 Representing Your Event

Name of Individual #3 Representing Your Event

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* 11. Name of Individual #3 Representing Your Event

Name of Individual #4 Representing Your Event

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* 12. Name of Individual #4 Representing Your Event

By filling out this form you agre to abide by Tekko's and the David L. Lawrence's Code of Conduct.

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* 13. By filling out this form you agre to abide by Tekko's and the David L. Lawrence's Code of Conduct.

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