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* 1. List your first and last name. (Please include the name of your spouse/business partner if they can attend the meeting as well).

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* 2. Please select which AgBiz Masters regional meeting you plan to attend. All meetings will be held from 9:30 a.m. until 2:00 p.m. on Thursday, January 15, 2015.

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* 3. Since we will be serving lunch, please describe any special dietary needs or requests.

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