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Organization Information
* Organization Name:  
Web Address:  
* Organization Description:  
Affiliation:    International
 National
 Regional
 State
If you checked Regional, please list the states in the region:  
Contact Information
* First Name:  
* Last Name:  
* Title:  
* Address:  
Address 2:  
* City:  
State  
Zip Code:  
* Country:  
* Telephone:  
Best time to call:  
Fax:  
Email:  
Meeting & Convention Information
* Event Name:  
* Preferred Dates:  
Alternate Dates:  
* Number of sleeping rooms:  
* Dates of sleeping rooms:  
Additional Comments:  
* Expected Attendance:  
* General Session Attendance:  
Attach Document:  
Number of Exhibits (8x10 or tabletop booths):  
Past meeting and convention sites:  
Last held in Fox Cities:  
Decision Date:  
Proposal Due Date:  
   
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Your Contact:
Kelly Ann Hekler
Convention Sales Manager
Email Kelly
800-236-6338
920-734-3358

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