The Prevention Conference is FREE and lunch is provided.  

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* 1. Name

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* 2. Email

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* 3. Contact Number

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* 4. Business/Organization/Agency/School Name

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* 5. Professional Credits Needed:

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* 6. Do you have any special dietary needs

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* 7. Will you be setting up an informational table at the conference?

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* 8. If you are setting up a table, will you be able to send your logo to jlovis@wedacinc.org to advertise at the event?

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