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Name:
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Title:
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Agency/Employer:
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Address:
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City:
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State:
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Zip Code:
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Phone:
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Fax:
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E-Mail:
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Which are you
registering for?
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Is this your first
meeting with us?
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Are you a member
of WRIPAC?
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If you are
attending the
training, are you
also attending the
2-day meeting
that follows?
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Are you planning
on staying at the
hotel?
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For future meeting
planning purposes,
what would you
consider to be your
area of expertise?
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Would you
consider
presenting or
sitting on a panel
at future meetings?
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What topics would
you like to see
discussed at future
meetings?
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