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Speaker Booking Form
Your Name
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Email
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Phone if you prefer I call you.
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Organization/School
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Location
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Information Request
If you are interested in having Michelle work with you or a group you represent, please complete this section.
Check all that you would like to have Michelle work with you on:
Meeting Details
If you have an event scheduled that you would like Michelle to join, please include those details.
Date of event
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Event start/end time
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Presentation start/end time
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How many people are expected to attend?
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Additional notes:
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