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Dine Around Town public interest form
1
Full name
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First Name
Last Name
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2
LinkedIn profile
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3
Email
example@example.com
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4
I'm available to attend an in-person event in the following areas
San Fransico
San Jose
Hillsborough/Burlingame/San Mateo
Palo Alto
Austin, TX
New York City
Tampa/St. Pete/Sarasota, FL
Los Angeles/Orange County
Scottsdale/Phoenix
San Diego
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5
I'm available the following dates:
October 11
October 16
October 17
October 18
October 19
October 20
October 21
Other
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6
I am a current corporate board director:
YES
NO
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7
I am
Latinx
Black/African American
Asian American
Pacific Islander
White
Middle Eastern
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8
I am working in
Finance and/or Banking
Financial and/or Accounting
Human Resources
Legal
Health Care
Marketing
Technology
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