Conference Planning Lead

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* 1. Name

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* 2. Email Address

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* 3. Phone Number

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* 4. Current Job Title

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* 5. Company & Location

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* 6. NAYGN Chapter Affiliation

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* 7. Conference Planning Interest (check one box)

Speakers & Exhibitors

Communications, Websites, Social Media, etc.

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* 8. Are You A Lead For Any Committees? If yes, please explain below

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* 9. Why Would You Be The Best Fit For This Role?

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* 10. Resume

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.