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Contact Information

Assocation
Name:
Address:
City:
State:
Zip:
Contact Name:
Contact Title:
Phone #:
Fax #:
Email Address:
Web Site:

Meeting Information

Meeting type:
# of Attendees:
Meeting Location:
Meeting Date:
Month Day Year
Apprx. Times:
How many attend your meetings?
Low #: Average #: High #:
Who attends and approximate % of each group?
What type of session are you considering us for?
When do you meet to plan your meetings/conferences?
Would you consider having a break for Q&A after our presentation?
Are you capable of accomodating a morning session?
Are you capable of accomodating a two-hour session?
Other information you would like us to know about your organization?
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