XC Dallas Registration
Chestnut Grove Subdivision Dallas, Ga 30132. Exact address to be provided in email prior to meeting. PLEASE reach out to Staci Hamilton 404-917-6728 BEFORE completing form to see if your industry seat is available. 
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Before completing this form and paying for meeting, please check with Staci to see if your industry seat is open. Contact: 404-917-6728  or Staci@SunflowerHomes.net or on 
Facebook @StaciHamiltonRealtor
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What date(s) would you like to register for? Please note month in PayPal when paying on next step.
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Please pay, and THEN COME BACK TO COMPLETE THIS FORM and Submit. Please make note of the name you are using on this registration form so I can match payment to the correct person/company and the meeting date you are attending. NEW! ➡ You have two ways to pay: PayPal and credit/debit card.
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Name *
Business Name *
Mailing Address
Website Link for the roster (type NONE if you do not wish to share)
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Social Media Link(s) for the roster (type NONE if you do not wish to share)
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Email for the roster
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Phone Number (999-999-9999)
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Please list a category for your 3 minute presentation
Example: Mary Kay might choose Skincare, Makeup, OR Fragrance...you may choose only one category to represent at any given meeting even if your company has multiple products and/or services. Please confirm the category you want is open for the meeting you are selecting BEFORE you register, thanks!
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Is this your first XC meeting?
If this is your first XC meeting, who referred you to us?
Is this your first XC Dallas meeting?
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