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* 1. Please select the category that best describes your group.

Ineligible Groups - These groups are ineligible to participate per our Special Interest Group policy, but are encouraged to participate in either the WBCA Courtside Expo, our Call for Speakers, or as a WBCA official sponsor.
       * Industry professionals – whether individual or allied members – are specifically excluded as their                    purpose is to profit from WBCA members (coaches, administrators, etc.) and/or to network
          with current, former or potential clients.
       * For profit groups.

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* 2. Contact Information

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* 3. What is your group name?

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* 4. What is your relationship to the group (e.g. organizer, member, president, executive director)?

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* 5. List your group website (if any).

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* 6. What is the total membership of the group (approx.)?

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* 7. Do all group members hold WBCA memberships? 

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* 8. Will your event be open to all WBCA registrants? 

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* 9. How many attendees do you anticipate (approx.)?

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* 10. Describe the purpose of your space request (e.g. education, promotion, social, recognition).

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* 11. Will you need to order audio visual equipment (e.g. microphone, screen, projector, etc.)?

Note: The WBCA will supply contact information; however, you are responsible for all orders and expenses.

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* 12. Will you need to order food and/or beverages?

Note: The WBCA will supply contact information; however, you are responsible for all orders and expenses.

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* 13. Will your event have a sponsor(s)? 

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* 14. Please provide names of all sponsors affiliated with your event request

By submitting this survey, you acknowledge that you have read, understand and agree to the Policy Governing the Application and Approval of Requests for Meeting Space at the WBCA convention by nonprofit Special Interest Groups.

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