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* 1. Name (required if you'd like to be registered to win gift certificate)

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* 2. Email Address (required if you'd like to be registered to win gift certificate)

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* 3. EVENT TYPE (please select your top preference only)

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* 4. EVENT START TIME (please select your top preference only)

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* 5. BUSINESS DEVELOPMENT TOPICS (select all that appeal to you)

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* 6. CEU TOPICS (select all that appeal to you)

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* 7. SPEAKERS & PRESENTERS
Do you know a great presenter that your fellow ASID members would benefit from hearing and learning from? Please provide their name and contact info here.

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* 8. EVENT HOST
Are you interested in hosting a future ASID MN Chapter event?

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* 9. CONTACT REQUEST
If you would like a volunteer from the ASID programs committee to contact you regarding programs, events or hosting opportunities please list your name and contact info here.

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