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* 1. Please enter your name.

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* 2. Please enter your email address.

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* 3. Please enter your phone number.

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* 4. What is your Modere Meetup location address? 

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* 5. The registration method is at the host’s discretion. Modere recommends that Meetups hosts use whatever method they prefer to register and charge their guests. Any legitimate manual or digital system is acceptable, including free services like EventBrite or TicketLeap.

What is your Modere Meetup registration link?

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* 6. What is the date and time of your Modere Meetup?

Date
Time

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* 7. Please upload a proof of attendance list. (This will be used to determine incentive eligibility.)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* 8. I acknowledge that any cost associated with hosting my Modere Meetup will be at my own expense.

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