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* 1. Please provide the following contact information.

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* 2. How do you plan to attend this meeting?

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* 3. Have you attended a FSIS Small Plant Roundtable meeting before?

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* 4. What topics would you most like to discuss or learn about at this event?

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* 5. The Agency will provide interpretation, translation, and/or sign language services to those who may need it. Please identify what service(s) may be needed below.

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* 6. What are you hoping to get out of the meeting? Is there any additional information or concerns you would like for FSIS to be aware of?

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