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* 1. Your Name

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* 2. Will you attend the October 7, 2019 CVNHP International Summit in Venise-en-Québec?

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* 3. Will you join us for the  October 6 Field Trip to historic and cultural sites in the Brome-Missisquoi region?

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* 4. Will you stay overnight on October 6 at the Hotel La Cache du Lac Champlain? 

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* 5. Please Enter Your Contact Information for the Summit Directory:

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