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1. Your Contact Information (Required.)

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2. Date of Meeting:

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3. Meeting Details:

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4. Location of Meeting: (District Office, Fundraiser, etc)

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5. Names of additional meeting participants:

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6. What topics / subjects were addressed (primarily)?

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7. Please describe the sentiment / reaction of the target audience:

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8. What segment(s) of the library community was represented?

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9. Estimate of number of attendees:

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10. Additional comments or notes:

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