The Center for Cooperative Media is currently in the process of planning the 2015 Innovate Local Conference and we'd like your input! Please take a few moments to fill out this survey with your suggestions for panel topics, panelists, and moderators you'd like to see at this year's conference. (See last year's conference lineup at http://bit.ly/innovateconfagenda.)

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* 1. What is your name?

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* 2. What is the best way to contact you?

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* 3. PANEL 1: Please suggest a panel for the 2015 Innovate Local Conference and provide a brief description in the boxes below.

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* 4. PANEL 2: Please suggest a panel for the 2015 Innovate Local Conference and provide a brief description in the boxes below.

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* 5. PANEL 3: Please suggest a panel for the 2015 Innovate Local Conference and provide a brief description in the boxes below.

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* 6. Please use this box to provide any additional suggestions for the 2015 Innovate Local Conference.

We will contact you for more information if one or more of your panel suggestions are included in the final conference schedule.

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