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* 1. What is your name?

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* 2. What organization are you affiliated with?

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* 3. What is your role in that organization?

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* 4. Does your organization work with live animals?

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* 5. If yes, does it follow a catch-and-release model?

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* 6. How long has this organization been in operation?

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* 7. Are you interested in attending this conference?

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* 8. What topics would you most like to learn about or discuss during this event?

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* 9. Would you be interested in presenting? If so, please provide a short summary of your topic.

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* 10. Please provide your contact information:

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