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

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

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

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

* 5. What is their position within the organization?

* 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

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

* 8. What is the deadline for your swap? 

* 9. Name of Individual #1 Representing Your Event

* 10. Name of Individual #2 Representing Your Event

* 11. Name of Individual #3 Representing Your Event

* 12. Name of Individual #4 Representing Your Event

* 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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