Full Name

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* 1. Full Name

Company or University

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* 2. Company or University

Title or Major

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* 3. Title or Major

Email

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* 4. Email

LinkedIn URL

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* 5. LinkedIn URL

Years of Experience

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* 6. Years of Experience

What industries do you specialize in or would like to learn more about?

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* 7. What industries do you specialize in or would like to learn more about?

What areas of public relations do specialize in or would like to learn more about?

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* 8. What areas of public relations do specialize in or would like to learn more about?

Are you available for a kick-off event on Wednesday, Sept. 5 at 6 p.m.

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* 9. Are you available for a kick-off event on Wednesday, Sept. 5 at 6 p.m.

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