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EMU's Mission & Service Day Registration 2012
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* Indicates required question
Organization
*
Your answer
Organization Website
*
Your answer
Primary Contact Name
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Your answer
Primary Contact E-mail
*
Your answer
Primary Contact Phone
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Your answer
Names of Additional Representatives Attending
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Total Number of Representatives Attending
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Your answer
Need Electrical Outlet? **If yes, please bring extension cords
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Yes
No
A table and two folding chairs will be provided - any additional needs?
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Events planning to attend
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Mission & Service Day Fair
Lunch Conversations
Evening Coffeehouse
Required
Please list mission/service opportunities available for EMU students and graduates
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Any additional comments
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