Please take a moment to let us know your participation in the 2021 FLMC Insurance Seminar 

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* 1. Contact Information

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* 2. I attended the FLMC Seminar in (Check all the apply):

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* 3. Prior to COVID-19, were you planning to attend the 2020 Fort Lauderdale Mariners Club Insurance Seminar?

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* 4. Are you planning to attend the 2021 seminar at the Westin Fort Lauderdale Beach on Tuesday October 26, 2021?

If you’ve answered 80% or definitely in planning to attend the seminar, please let us know the following:

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* 5. If you will be booking hotel accommodations for the seminar, please select the dates that you will most likely need a hotel room.

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* 6. Will you be participating in the evening “Meet the Speakers” networking reception on Monday, October 25th?

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* 7. Will you be participating in the Golf Tournament on Monday, October 25th?

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