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* 1. Are you a member of the American Chemical Society (ACS)?

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* 2. Please select your career status:

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* 3. Are you a member of the ACS Division of Small Chemical Business (SCHB)?

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* 4. Are you a member of any other ACS technical division, and if so, which one or two do you associate with most?

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* 5. Which of the SCHB member benefits do you feel are valuable? (Select all thay apply)

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* 6. Have you ever attended an ACS Regional Meeting?  If so, what was the last one you attended and when was it?

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* 7. Are you interested in organizing or speaking at a future SCHB symposium or workshop? (Select all that apply)

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* 8. If you are interested in organizing or speaking at an SCHB-sponsored event with your ACS Local Section, list your local section.

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* 9. If you would like to become more active in SCHB or would like to join SCHB, please list your name and email

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* 10. If do not have a SCHB leather business card case and would like to be entered in the drawing, please list your name and email (three winners will be contacted)

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