Delegation Point of Contact Name
*
First Name
Last Name
Delegation Point of Contact Email Address
*
City or Town
*
Delegation Representative #1
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First Name
Last Name
Organization
*
Category Representation
*
local Maker Faire or maker event producer
maker/hacker/biospace and FabLab representatives
nonprofit, business, or educational organization
government agency or elected official
Delegation Representative #2
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First Name
Last Name
Organization
*
Category Representation
*
local Maker Faire or maker event producer
maker/hacker/biospace and FabLab representatives
nonprofit, business, or educational organization
government agency or elected official
Delegation Representative #3
*
First Name
Last Name
Organization
*
Category Representation
*
local Maker Faire or maker event producer
maker/hacker/biospace and FabLab representatives
nonprofit, business, or educational organization
government agency or elected official
Delegation Representative #4
*
First Name
Last Name
Organization
*
Category Representation
*
local Maker Faire or maker event producer
maker/hacker/biospace and FabLab representatives
nonprofit, business, or educational organization
government agency or elected official
Delegation Representative #5
*
First Name
Last Name
Organization
*
Category Representation
*
local Maker Faire or maker event producer
maker/hacker/biospace and FabLab representatives
nonprofit, business, or educational organization
government agency or elected official
Delegation Representative #6
First Name
Last Name
Organization
Category Representation
local Maker Faire or maker event producer
maker/hacker/biospace and FabLab representatives
nonprofit, business, or educational organization
government agency or elected official
Delegation Representative #7
First Name
Last Name
Organization
Category Representation
local Maker Faire or maker event producer
maker/hacker/biospace and FabLab representatives
nonprofit, business, or educational organization
government agency or elected official
Delegation Representative #8
First Name
Last Name
Organization
Category Representation
local Maker Faire or maker event producer
maker/hacker/biospace and FabLab representatives
nonprofit, business, or educational organization
government agency or elected official
Delegation Representative #9
First Name
Last Name
Category Representation
local Maker Faire or maker event producer
maker/hacker/biospace and FabLab representatives
nonprofit, business, or educational organization
government agency or elected official
Organization
Delegation Representative #10
First Name
Last Name
Organization
Category Representation
local Maker Faire or maker event producer
maker/hacker/biospace and FabLab representatives
nonprofit, business, or educational organization
government agency or elected official