Hazard Asset Development Summit

Registration

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* 1. I plan to attend the Hazard Asset Development Summit at the Hazard Career Center at 412 Roy Campbell Drive from 9:30am to 3:15pm on May 11, 2017.

YES

NO

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* 2. If you plan to attend, please provide the following information.

FIRST NAME:

LAST NAME:

ORGANIZATION, if applicable:

E-MAIL ADDRESS, if available:

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* 3. If you do not have an email address available, how would you like to receive information?

Telephone

Regular Mail

Please provide the contact information:

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* 4. Please let us know if you need the meeting materials in alternative format. Please specify what format you are requesting. Also, please specify what other accommodations you may need to participate, such as a sign language interpreter.