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* 1. First name

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* 2. Last name

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* 3. Title

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* 4. Organization

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* 5. Street address

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* 6. City

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* 7. State

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* 8. Zip code

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* 9. Phone number

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* 10. E-mail address

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* 11. Are you a current CMP certificant?

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* 12. In your current position, are you a planner or a supplier?

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* 13. Please indicate if you have any special accessibility requirements. The Events Industry Council will reach out for further information.

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* 14. Please indicate any dietary restrictions that apply

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* 15. Please let your emergency contact's full name and phone number

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