Please respond by December 2nd.

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* 1. Will you attend the "Living the Essentials" dinner and conversation on Friday, December 4, 2015?

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* 2. If you cannot attend, would you be interested in being invited to a similar future event?

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* 3. If you will attend, how many people (including you) will be in your party? If there are more than 4 of you, please compete this form a second time to register each guest.

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* 4. Please enter your personal information.

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* 5. Please enter information for your first guest.

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* 6. Please enter information for your second guest.

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* 7. Please enter information for your third guest.

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* 8. Will you attend the short "Essentials" introduction which begins at 5:15pm?

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* 9. Please describe any special dietary needs you and/or your guest(s) may have:

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* 10. Will you require childcare?

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* 11. Please share with us anything else we might need to know about your attendance. 

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