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Request a Speaker |
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To request a speaker,
contact the speaker
directly, or contact our
Speakers Bureau Coordinator.
If calling, please have the
following information ready: |
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(click here and print our
worksheet - then call the
speaker and review your
request) |
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Your information |
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Name |
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Address |
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City/ST/ZIP |
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Home Phone (include
area code) |
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Work Phone (include
area code) |
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Fax (include
area code) |
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Email |
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About your group |
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Group name |
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Group Size |
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Group Demographics (age, size,
gender) |
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Location of meeting |
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Meeting time |
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Choose your topic |
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First choice |
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Second choice |
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Date of your event |
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Comments / questions |
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