Thank you for filling out this form. We look forward to seeing you at an upcoming K or K2R Club meeting!

First Name

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* 1. First Name

Last Name

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* 2. Last Name

Email address

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* 3. Email address

Which club(s) are you interested in?

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* 4. Which club(s) are you interested in?

Which topics would you like to see presented?

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* 5. Which topics would you like to see presented?

If you are interested in presenting your specific aims for a lightning round, what is your planned submission date?

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* 6. If you are interested in presenting your specific aims for a lightning round, what is your planned submission date?

Date / Time

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