Square Table Proposal

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* 1. Name and contact info

Name

Company

Email Address

Phone Number

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* 2. What's the purpose of your proposed Square Table event?

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* 3. Give it a short title (we can change this later - give it a shot)

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* 4. Number of participants (we recommend 10 or so)

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* 5. When would you like to hold this meeting? (date and time OR not sure yet)

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* 6. Location of meeting? Please provide address and any details needed for participants to get there.

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* 7. Will you provide a meal/refreshments? If so, describe.