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CASS Diaspora Conference Attendance and Participation Form
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First Name
*
Your answer
Organization
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Attendance
Self
Guests
Number of Guests
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Address
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City
*
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Last Name
*
Your answer
State
*
Your answer
Zip Code
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Telephone Number
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Email
*
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Special Request/Assistance
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Lunch and snacks will be provided. Please arrange your own transportation and lodging as needed.
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