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AnimeCTX Panel Submission Form
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* Indicates required question
Email
*
Your email
Host Legal First Name
*
Your answer
Host Legal Last Name
*
Your answer
Host Age
*
Your answer
Host Phone Number
*
For contact during the convention (no spaces or symbols)
Your answer
Group/Organization
If this doesn't apply to you leave blank
Your answer
Do you have one or more Co-Hosts?
*
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Yes
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