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* 1. Your Name:

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* 2. Your position title:

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* 3. Email address:

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* 4. Name of Organization, School, Business, or Institution:

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* 5. Which workshop are you registering for?

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* 6. How likely is it that your organization, school, business, or institution will install induction cooking equipment within the next year?

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* 7. Please explain in 1-3 sentences why you are interested in attending this workshop.

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* 8. Do you feel you could be swayed into purchasing induction cooking equipment if educated on the topic?

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* 9. Have you participated in one of DEP’s CHECK webinars? (NOTE: To be eligible for the rebate, applicants must either watch a webinar OR attend an in-person induction workshop.  Recorded webinars can be viewed at any time at our website)

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* 10. Does your organization, school, business, or institution already use induction cooking equipment? If so, list the equipment used.

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