Invite Michelle - Request Form
Workshop Facilitator *Teacher* Speaker * Panelist * Small-group Leader
Email address *
Your Full Name *
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Your Title or Role *
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Organization Name *
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Organization's web address *
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Please describe the event *
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Please describe the service you would like Michelle to provide *
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Date of the Event *
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Contact's phone number *
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Is there any other information you'd like to share?
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A copy of your responses will be emailed to the address you provided.
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