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NNCC Guest Speaker Interest Form
Event Address: 3801 East Beltline Ave. NE, Grand Rapids, MI 49525
Contact us at (616) 427-7281 or nasmith@nvps.net
* Indicates required question
Your Name
*
Your answer
Your Phone Number
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Your answer
Your E-mail
*
Your answer
What day of the week would you like to speak?
*
Wednesday
Thursday
Other (Please indicate in comments)
What month would you like to speak?
*
September (2025)
October (2025)
November (2025)
December (2025)
January (2026)
February (2026)
March (2026)
April (2026)
May (2026)
What is the name of your organization/company?
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Your answer
What are the names of people attending?
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Your answer
Comments and/or questions
*
Your answer
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