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TA Events - Webinars Please supply the following information. *All fields but Representative Authorization are mandatory Name Licensee Organization Email Address(1) Module Title Preparing for an Implementation Planning Session (IPS) Date of Session Requested Number of Seats Requested (3 Seat Max) 1 2 3 Reconfiguration Wave (check all that apply) Wave 1 Wave 2 Wave 3 Wave 4 How did you hear about the Webinars? (1) Email Addresses are Mandatory. All licensees who would like to attend a Webinar must submit an email address in order to be registered. Registration confirmation, invitations, and access into Microsoft Live Meeting (Webinar tool), can only be provided via email. (2) Designate & Authorize Representative, if applicable. All licensees who cannot attend a Webinar and would like to designate a representative to attend on their behalf should state clearly the name of the representative, the organization of the representative, and his/her email address.

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