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* 1. Which of the following topics would you like to see discussed at our QAPI Council meetings? (Choose as many topics as you are interested in.)

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* 2. Are there any other QAPI topics that you would like included on the list above?

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* 3. Are you interested in participating on the QAPI Committee?

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* 4. Are you interested in presenting on a QAPI topic? If so, please provide your contact infromation and the topic of interest below.

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