2. First/Last Name or Company Name*
3. Email*
5. When does the event take place?*
6. Name of Event (if applicable)
8. Will this event take place in-person or online?*

   1. In-person
   2. Online
9. Type of Event*

   1. Training
   2. Educational
   3. Board Meeting
   4. Other
11. In-person event location address
12. What industries do you expect in attendance?
14. How many attendees are expected?
16. What are the challenges your attendees would like to hear about at this event?
17. What do you hope to achieve with this collaboration?
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