Invite Vice President Burgess to Speak at Your Event

Submitted by rutledge on Tue, 04/23/2019 - 10:40

Event Name *

Date of Event *

Month

Day

Year

Requests should be submitted at least 30 days prior to the planned event.

Start Time of Event *

Hour

Minute

End Time of Event *

Hour

Minute

Location of Event *

Type of Request *

e.g., keynote speaker, panelist, plenary session speaker, welcome/closing remarks

Approximate Start Time and Length of Speech/Remarks *

Expected Size of Audience *

Event Attire *

e.g., casual, business casual, black tie

Brief Description of Event/Organization *

Your Name *

Your Email *

If Making Request on Someone's Behalf, Please Enter Their Name

Department/Organization *

Telephone Number *

Street Address *

City, State and Zip Code *

Comments

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