Business & Commercial History of Montgomery County
Please use this form to request a speaker. If you have any questions, please contact the Speakers Bureau Coordinator at SpeakersBureau@MontgomeryHistory.org or 301-340-2825.
Email address *
Requesting Group or Venue *
Date of Event *
MM
/
DD
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YYYY
Time of Event *
Time
:
Name of Contact *
please provide your name
Phone Number of Contact *
Please provide your phone number
Location of Event of Meeting *
Please provide a complete address
Location Phone Number *
please provide the phone number of the venue where the event will take place
Is this a public event? *
please indicate if this event is open to the general public
Anticipated Audience Size
Requested Presentation
Please select a presentation from the list below. If you are unsure of which program you want, select other or contact the Speakers Bureau Coordinator at SpeakersBureau@MontgomeryHistory.org or 301-340-2825.
Requested Presentation or Presenter
Special Requests
Please enter any special requests or needs related to your event here (optional)
If you have any questions, please contact the Speakers Bureau Coordinator at SpeakersBureau@MontgomeryHistory.org or 301-340-2825.
A copy of your responses will be emailed to the address you provided.
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