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BELOW, PLEASE FILL OUT WHICHEVER SECTIONS APPLY 

1. Name of Event:

2. Date:

3. Time:

4. Place:

5. City and State:

6. Council, Chapter or other PDCA group involved:

7. Number of participants:

8. Are photos available?

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If yes, please see submission instructions at the bottom of the form.

9. Event organizers:

10. Event sponsors:

11. Event donors:

12. Event participants (FULL names and companies they work for -- if a large event you can skip this):

13. Comments from participants:

 

14. Additional information (prizes awarded, lessons learned, enjoyable stories about the event, etc.):

 

 

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