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EVENT NAME *
EVENT Date*
EVENT CITY, STATE*
EVENT VENUE*
EVENT WEBSITE
EXPECTED ATTENDANCE*
WHAT DO YOU HOPE TO ACCOMPLISH
YOUR DESIRED SPEAKING TOPICS?
PROPOSED SCHEDULE?
SPEAKERS DESIRED: BrendaBrenda & John
ESTIMATED HONORARIUM FOR BRENDA OR FOR BRENDA AND JOHN *
TRAVEL EXPENSES FOR 2 FROM Washington DC? (SEPARATE FROM HONORARIUM) * YESNO
CLOSEST AIRPORT *
HOSTING ORGANIZATION
HOSTING ORGANIZATION WEBSITE
First Name*
LAST NAME*
CONTACT PHONE NUMBER *
CONTACT EMAIL ADDRESS *
