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Contact Information Form
Interview Worksheet
Please take the time to answer these questions.
Name
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First Name
Last Name
E-mail
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example@example.com
US Phone Number
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Area Code
Phone Number
WhatsApp Phone Number outside of the USA
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Country Code
Phone Number
Did you attend the zoom information meeting?
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I want to come as a:
SPEAKER DELEGATE $4,550 (Airfare Not Included)
SPEAKER DELEGATE w GUEST $6,500 (Airfare Not Included)
TOURIST $3,550 (Airfare Not Included)
TOURIST w GUEST $5500 (Airfare Not Included)
Are you ready to take action on this event?
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NO
Do you still have questions?
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NO
Any additional comments?
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