Speaker Request Form
Name
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Email
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Evening Phone Number
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Event Name
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Event Description
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Event Date and Time
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Time
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Event Location
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Expected Number of Attendees
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Organization Sponsoring the Event
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Please describe your organization.
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Is this request only for a Documented Original Tuskegee Airman (DOTA)?
Are other activities planned in addition to the speech?
Will this event be held for students
If this event is for students, what is the grade level(s)?
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Will you provide an Honorarium for ECCTAI grants/scholarships or the Youth in Aviation Program?
Are sales of Tuskegee Airmen books and memorabilia allowed?
Attendance costs for other DOTAs and ECCTAI members?
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Deadline for ECCTAI Reply
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Additional Information:
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