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* 1. Which session(s) will you be attending? You are welcome to register for multiple sessions.

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* 2. We want to ensure we are discussing the important well-being issues that  are affecting you and your firm. Please share what you hope to discuss or get out of the roundtable. Note: your responses will remain anonymous and will only be shared with the moderator in advance of the session.

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* 3. First Name and Last Name

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* 4. Email Address (you will only be contacted in regards to this event).

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* 5. Which type of organization or firm do you work for?

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