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NGACT
360 Broad Street
Hartford, CT 06105

(860) 247-5000

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Last Name*

Rank / Title

Email*

Phone*

Date Requested for Brief (Must Be 30 days prior notice)

Time Requested for Brief

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Unit Requesting Brief

Address Where Brief Will Occur

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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