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2. 

   Please input your name and organization exactly how you would like it printed on your nametag. We're looking forward to seeing you on December 10! 

   Date: Wednesday, December 10, 2025
   Time: 5:30 PM to 8:00 PM
   Location: UMass Lowell Coburn Hall, 850 Broadway Street, Lowell, MA 01854
   Parking: Wilder Lot

4. First Name*
5. Last Name*
7. Email Address*

   Please provide an email address where you can be reached if we have any updates prior to the event. 

8. Organization*

   Type your organization, board, committee, or business if applicable. You may also type in "Community Member" or a similar description if you wish.

10. Please let us know if you require any accessibility accommodations. We will do our best to provide accommodations.
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12. 1. Receive an email copy of this form.
13. Email address

    This field is not part of the form submission.

14. Submit

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