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* 1. Gender

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* 2. Contact info

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* 3. Professional activities (select all sectors that apply to you)

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* 4. Business or employer

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* 5. City/Municipality (Please indicate the region of your professional activities)

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* 6. Please check all that apply to your situation

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* 7. Would you like to be involved in the Laurier Awards?

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* 8. Which area are you most interested in?

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* 9. The official brigade is only open to industry professionals working in the Québec culinary field. The member selection process will be done in a manner as to ensure proper representation of gender as well as cultural and regional diversity.

By completing this form, you agree to allow the Laurier Awards of Quebec to contact you.

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