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* 1. Title of Event

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* 2. Event Date and Time Start

2

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* 3. Event End Date and Time

2

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* 4. Speaker(s)' Name(s)

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* 5. Speaker's Title

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* 6. Event Type

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* 7. Venue/Room

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* 8. Event Summary

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* 9. Photo (please attach)

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* 10. Related Links

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* 11. Reception to Follow?

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* 12. If yes, where?

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* 13. Sponsor(s)

T