General Information

What is your full name?

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* 1. What is your full name?

What is your email address?

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* 2. What is your email address?

What is the best phone number to reach you?

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* 3. What is the best phone number to reach you?

In what format would you like to receive workshop handouts?

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* 4. In what format would you like to receive workshop handouts?

What would you like to gain from attending the workshops?

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* 5. What would you like to gain from attending the workshops?

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