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Stars and Stripes Honor Flight, Speaker/Presentation Request
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Organization, Sponsor
*
Your answer
Date/ Time
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Venue (School Name, Church, Theatre, etc.)
*
Your answer
Street Address
*
Your answer
City, State Zip
*
Your answer
Contact Name
*
Your answer
Contact Phone#
*
Your answer
Contact Email
*
Your answer
Audience
*
Elementary School
Middle School
High School
Community Group
Business Group
Other:
Required
Length of presentation
*
15 Minutes
30 Minutes
45 Minutes
Would you like a veteran to accompany the speaker?
Yes
No
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Would you like a Mini-Art Show display?
Yes
No
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Other Comments
Your answer
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