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Name and Contact Information

First Name:

Last Name:

Organization:

Job Title:

Street Address:

City:

State: Zip code:

E-mail Address:

Day Phone :

Participant Profile

(check all that apply):

individual artist

individual representing a performing group

Other (please specify:)

I will attend the Marketing Workshop held on Friday, June 30th from 1:00-4:30 p.m. at the State Historical Building.

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