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Edson College Speakers Bureau Speaker Request Form
This form can be used to request a speaker or provide information for a speaker once they have been confirmed. You can access a full list of speakers and their areas of expertise here:
https://nursingandhealth.asu.edu/engage/speaker-bureau
. There is NO CHARGE for this service.
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Name of organization
Your answer
Contact person name, email, and phone
Your answer
Location of event (with parking details)
Your answer
Date of event
MM
/
DD
/
YYYY
Time of event
Time
:
AM
PM
Speaker requested (choose up to three in order of preference, or let us know your topic and we will select a speaker for you)
Your answer
Topic you'd like speaker to address
Your answer
Length of presentation
Your answer
Will AV be available?
Your answer
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