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* 1. Please provide your contact information:

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* 2. How many people are planning to attend?

0 5 10
i We adjusted the number you entered based on the slider’s scale.

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* 3. Do you have any dietary restrictions?

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* 4. What topics would you most like to learn about or discuss at this event?

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* 5. Are there any questions you would like to be addressed at this event?

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