Speaking Engagement Request

Thank you for inviting Rev. Cozy Bailey, Sr, President of the NAACP Virginia State Conference to speak at your upcoming event. Please complete this form in its entirety. Speaking Engagement Requests are reviewed weekly. You should expect to receive a response on or before the Confirmation Availability Date.

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Email *
Name of NAACP Unit or Organization 
Type of Event *
Required
Event Name/Theme *
Event Date *
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Event Time *
Time
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Event Point of Contact *
Event Point of Contact Email *
Event Point of Contact Best Contact Number *
Event Location *
Confirm Availability By *
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YYYY
If the invitee is unable to participate in the Event, is your unit  interested in having another participant from the VSC Executive Committee? (If you would like a specific speaker, please specify in comments)
 *
Brief Description of Event *
A copy of your responses will be emailed to the address you provided.
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