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Event name
Event short name
Is this the first time to hold this event?
Yes
No
Proposed event start date
Pick a date
Proposed event end date
Pick a date
What are the competitor events and/or societies?
What is the event location?
What is the allocated budget in USD?
What is the preferred venue?
What is the scope of the event?
What is the expected number of speakers?
What is the expected number of attendees?
What is the expected number of sponsors?
Do you need special setup requirements?
Contact Information
Your name
Phone number
EG
Email
Preferred contact method
Phone
Email
Questions and comments
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