Wednesday, February 21, 2018

5:30 - 7:00 PM
UCA Downtown
1105 West Oak Street, Conway, AR
Refreshments will be served
Please RSVP below

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* 1. Name

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* 2. Employer

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* 3. Title

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* 4. Contact e-mail

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* 5. Contact phone

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* 6. How did you hear about this event?

UCA would like to collect demographic information to help us better serve our customers and event participants. These questions are voluntary and any information you provide will remain confidential and will only be used in aggregate form.

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* 7. What is your gender?

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* 8. Please select the category that includes your age:

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* 9. Which of the following best describes you?

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* 10. What is the highest level of education you have completed?

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