First Name
Last Name
Business Name:
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Other-Corporate Partner.
Then use the Company - Other box to type your organization's name
Company - Other
Business Address
City
State
Postal
Code
Email Address
Cell Phone
Business Phone
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True
False
Hidden Fields
Event Date(s)
Event Time(s)
Expected attendance count
Room Set-up Style
Please select...
Auditorium
Classroom
Modified U
Clusters
To be determined
Do any of the following apply to your organization?*
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Nonprofit Organization
Corporate Alliance Partner
State or Federal Government
*To select more than one option, hold down the Ctrl key when making selection.
How did you hear about our facility?
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Chester County's Brandywine Valley (Chester County Tourism)
Eventective
Meeting Planners International
Previously Attended a Conference or Event on Campus
Referral from a Colleague or Friend
Unique Venues
Other (please specify)
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Additional Comments
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