Thank you for identifying the type of companies you'd like to see in the association.

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* 1. The next awesome member of AHTD could be:
(Please type the company's name)

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* 2. Please list the first and last name of the contact at the company.

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* 3. Please share email and phone of the contact.

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* 4. What type of company have you nominated?

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* 5. Who is the incredible person who filled this form out? (Please list your first and last name)

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* 6. Please share your company name and email address.

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