Presentation Request Form
Requested Presentation
Requested Presentation Date
We will contact you to confirm dates, times, etc.
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Start Time:
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End Time:
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Time Zone:
Number of Participants:
must be at least 10 in attendance
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Type of Audience:
staff, youth, parents, etc
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Organization:
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Address of Training Location:
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City:
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Zip:
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County in Indiana:
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Contact Person:
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Email Address:
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Phone Number:
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Alternate Phone Number:
Number to reach someone on the day of Presentation:
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Can you provide a Screen or White Board (wall)?
Required
Can you provide a Computer / Projector with PowerPoint capabilities?
Required
Directions to Training Location from our office (3833 N. Meridian Street, Indianapolis, IN 46208)
Please to not direct us to MapQuest or other online map search (it is unreliable)
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If there are any time changes, cancellations etc., please notify Katherine King at kking.pcain@villages.org or call 317-775-6439 ASAP
Other Notes:
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