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2025 Dedicated Service Award (Administrative Assistant)
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* Indicates required question
Email
*
Your email
Name (as it should be printed on the award)
*
Your answer
Home Street Address
*
Your answer
Home City, Zip
*
Your answer
School
*
Your answer
School Street Address
*
Your answer
School City, Zip
*
Your answer
Work Phone Number
*
Your answer
Cell Phone Number
*
Your answer
Number of years I have served in the capacity of Administrative Assistant?
*
Choose
5
10
15
20
25
30
35
40
Number of years I have been registered and current MIAAA Administrative Assistant?
*
Choose
5
10
15
20
25
30
35
40
Are you planning to attend the 2025 MIAAA Awards Banquet?
*
Yes
No
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