Please answer the questions below to RSVP.

The event will be held November 2nd at 11:30 am in the SIU Carbondale Student Center Ballroom B.

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1. First and Last Name

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2. Number in your party

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3. Email Address

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4. Business/Organization

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5. Phone Number (Not Required)

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6. Street Address (Not Required)

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7. City and Zip Code

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8. Would you like to be included on the email notification for the Paul Simon Institute's Fall Events?

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9. Do you have any dietary restrictions?

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10. Please describe your dietary restrictions, if any.

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