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Host MELT Self-Care for your Organization
AwareNessa Event Request
Name
*
Full Name
Email
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Phone
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Where is your organization located?
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Which event format do you prefer?
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Virtual
In person
What’s the budget for this event?
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$500 to $1,000
$1,000 to $2,000
$2,000 to $5,000
$5,000 to $10,000
$10,000+
How many participants will attend the event?
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Please describe your organization.
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Please provide any additional details you feel would be helpful.
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