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MAISRC Speaker Request Form
Please use this form if you would like to have MAISRC's Research Outreach Specialist come to your meeting to speak or present MAISRC research. If you have any questions about the form, please email: mduhr@umn.edu.
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What is the name of your organization? *
What city and county is your organization based in? *
Please provide the name, phone number, and email address of the organization's point of the contact for meeting and speaker logistics. *
Event date *
MM
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DD
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YYYY
Event time *
Time
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What type of event is this? (i.e. annual membership meeting, board meeting, AIS committee meeting, etc.) *
Will the meeting be held in person or using online meeting software? *
If the meeting will be held in person, what is the name and address of the site?
Please indicate what audio visual equipment is available at the meeting location. Select all that apply. Projection equipment and microphones are *not* required, we just like know ahead of time what to expect.
What type of talk would you like to hear? *
Did you have something else in mind? Please describe what you'd like to hear about below. We develop new talks regularly.
How long would you like the talk to be? *
Any thing else you'd like to add?
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