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Request a Speaker
Name of event
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Date of event
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(mm/dd/yyyy)
Location of Event
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Address Line 1
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City
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State
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ZIP/Postal Code
Country
What topic(s) would you like us to focus on?
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How long would you like the speaker to present?
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Contact Information
Organization
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Name
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First Name
Last Name
Email
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Phone
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Please check the box if the answer to the question is "Yes".
Is this your first time requesting a speaker from James House?
Is this event open to the public?
May we take pictures to post on our Facebook and/or website?
Do you have audio/visual equipment at the venue?