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Get and Sign Guest Speaker Form
Specific sponsoring organization (if applicable):
Date of event:
Time of event:
Theme/topic for this event:
What is the exact schedule of events for this program? (include specific times and length of
activities)
What other programs/speakers will be part of this event?
Specific location of event (city, state, building, room, etc.)
Seating Capacity
Number of People Expected to Attend
Contact Person's Name
Title:
Phone (Work):
(Pager)
(E-mail)
(Home):
(Fax):
(Cell)
Please provide your...
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