ESIP Public-Private Partnership Collaboration Area Interest Survey

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* 1. Please provide your contact information

Name

Organization

Email Address

Phone Number

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* 2. What is your organization type?

Government

Non-governmental Organization

Educational Institution

Corporation

Not-for-profit Corporation

Other (please specify)

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* 3. What would you like to get out of participating in the collaboration area?

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* 4. What would you like to contribute to the collaboration area?