3G Philly Virtual Suggestion Box
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Today's Date
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What is your name?
What is your email?
What type of suggestion is this?
Brief description *
If this is an upcoming event or funding opportunity, please provide the date
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Please provide a relevant website link  (if applicable)
If you are suggesting a speaker, please provide their contact info, if you have it
Are you willing to help plan the event, program, or other you are suggesting?
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