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The following form must be filled out and turned into the AAAAI Executive Office at least one month prior to the speaking date.At least 25 people should be expected to attend the event.

 

1. Date of event for which you need a speaker:
2. Sponsoring organization:
3. Contact person:
4. Contact address:
  City:
  State: Zip:
5. Contact person phone:
  Fax:
6. Contact person E-mail:
7. Description of the event:
8. Where event is to be held:
9. Time of event:
10. Preferred topic for presentation & desired length:
11. Type of audience & estimated size:
12. Desired speaker (if eligible & part of the AAAAI Speakers Bureau):
(optional)
13. Anything else to convey/request: (optional)

Questions? Please call AAAAI Membership Services at (414) 272-6071 or E-mail info@aaaai.org


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