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* 1. First Name

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* 2. Last Name

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* 3. What is your address?

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* 4. What is your phone number?

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* 5. What is your email address?

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* 6. What event are you registering for?

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* 7. What is your affiliation?

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* 8. Would you like to join the SUDC Foundation ENews?

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* 9. Do you plan to attend the event live or watch the recording?

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* 10. How did you hear about this event?

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