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Attendee Information

* First Name:
Middle Initial:
* Last Name:
* E-mail Address:
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* Phone Number: Ext:
Alternate Phone Number: Ext:

Additional Information

Do you own or manage a business? Yes No

How many employees do you have? None 1-19 20-49 50+
How long have you been in business? < 1 year 1-5 years 5+ years

Which category best describes your business?

If you are not currently in business, are you Planning to Start a Business
An Employee of a Business
A Business/Accounting Student
Other

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