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User Group Request Form

Requestor’s Full Name: ${firstName}
Region: ${region}
Email Address: ${email}
Cost Center: ${misc1}
Quarter (QX ‘ year): ${misc2}
Title of Presentation: ${docName}
Short Abstract/Description of Presentation: ${docURL}
Key Benefits or Take Away: ${misc3}
Agenda: ${misc4}
Date: ${misc5}
Time (indicate Time Zone): ${misc6}
Guest Speaker (full name): ${misc7}
Guest Speaker Job Title: ${misc8}
Guest Speaker Company: ${misc9}
Guest Speaker Bio: ${misc10}
McAfee Presenter: ${misc11}
McAfee Presenter Job Title: ${misc12}
McAfee Presenter Bio: ${misc13}
Would you like to offer CPE for this presentation (1 CPE): ${misc14}
Target # of invitees: ${misc15}
Additional Comments: ${comments}