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Contact Name：*
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Title：
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Company Name：*
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UBN：
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Department / Unit：
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E-mail：* |
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Contact TEL：*
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(Area code - Telephone number - Extension)
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Contact FAX：
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(Area code - Telephone number - Extension)
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Mobile ：
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Company Address：*
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Conference / Event Format
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Event Name：
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Estimated Participants：
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Persons
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Main Conference Room Requirements：
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(If other conference rooms will be hired please specify in the Comments section)
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Planned Event Date：
(First Preference)
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Until
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Planned Event Time Slot：
(First Preference)
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Alternative Date：
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Until
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Alternative Time Slot：
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Comments：
(No more than 150 words)
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