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* 1. First Name

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* 2. Last Name

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* 3. Company Name

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* 4. Email Address

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* 5. Phone Number

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* 6. Mailing Address

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* 7. What product or service can you provide to PPL?

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* 8. Are you currently doing business with PPL?

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* 9. Have you attended a PPL Supplier Diversity Conference in the past?

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* 10. Do you agree to have your contact and business information shared with other attendees and PPL prime contractors for potential business opportunities?

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* 11. Do you currently hold a diversity certificate from a third party? ex: EMSDC, WBENC, NGLCC, etc

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