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Activities & Events Questionairre

Convention/Roundup:

Professional Event:

Event Name

Event Locaction (City & State)

Event Dates

Facility Location ( ie Hotel/Convention Center, Address & Phone Number)

Major Activities (ie Marathon Meetings, Workshops, Speakers, 5k/10k run, golf, scuba diving etc)

Registration Information (Registration Dates, Dollar Amounts, Late Registration etc)

Mailing Address (including "Make Check Payable To":)

Key Contact Information Name(s), Phone Number(s)

Event Web Site URL	Event E-mail Address
Your Name	Your E-mail Address

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Anonymous One reserves the right to refuse posting of any event, which in its opinion is objectionable or inconsistent with its policies. Events will be posted in 24-48 after receipt of submission.