ERI Speaking Availability Form
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Your Name *
Your Organization (if applicable)
Email Address *
Phone *
Event Title
Event Date (If you do not have a specific date in mind, please list three options that would work for you. If you are a student group, please be aware of your school's academic calendar and avoid breaks and exam weeks.) *
Event Location - City & State
Do you have a specific ERI speaker you're requesting? *
Are you interested in hosting an ERI outreach event in addition to the speaking event? *
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