Community Historian Program Request
Thank you for your interest in San Diego History Center's Community Historian Program. Please use this form to request a speaker at your upcoming event, luncheon, or meeting.
Requestor's Last Name *
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Requestor's First Name *
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Phone Number *
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Email Address *
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Is your group... *
What is the name of your group or organization? *
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Number of participants *
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Organization street address *
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City *
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State
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Zip Code *
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Business phone *
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Program choice *
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Date *
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Time *
Time
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Venue name *
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Venue address *
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City *
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Zip code *
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Additional information about venue
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Is this program held in conjunction with a business meeting? *
If yes, what are the hours of the business meeting and when do you suggest the presentation start?
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How long would you like the speaker to talk? *
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Can you provide any of the following equipment? *
Please select all that apply. Our speakers typically arrive about 30 minutes prior to the program start time to set up. Although we typically bring out own laptop and projector, if you can provide any of the additional equipment it would be appreciated.
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Any other special requests or concerns?
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