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2. 
4. Your Organization
5. Primary Contact's Name
7. Phone Number
8. Email
10. Venue Addresss
12. City
13. Zip
15. Topic
    What topic would you like to learn about?
17. Who Would You Like To Speak At Your Event?*

    1. Attorney
    2. Victim Witness
    3. Inspector
    4. Other
19. If Other, please explain
21. Date of Event
    Date of Event
22. Start Time
    Start Time
23. End Time
    End Time
25. Length of Presentation
26. Attendance
27. Zoom/Virtual
29. Equipment Provided
    (List as many as possible) Projector, screen, TV, laptop, or nothing
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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field