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First Name
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Last Name
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Email
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Job Title
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Role
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Please Select
Agency Owner/Principal
Producer
Account Manager
Business Development
Other
Company Name
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Mobile phone number
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Street address
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City
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State/Region
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What do you want to get out of ASCEND? (Choose all that apply.)
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Consultative selling skills
Self-funding education
Strategies to work with the C-Suite
Discover new cost containment solutions
Collaborate with the NextGen Community of brokers, consultants and vendors
Do you plan to attend the Welcome Reception on July 7th at 5:30pm?
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YES
NO
Do you plan to attend the Cocktail Reception & Gala Dinner on Wednesday, July 9th from 6:30pm-9:00pm?
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YES
NO
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