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You can e-mail us at: info@sankofaspeaks.com
info@sankofaspeaks.com

Organization/School/Association
Full Name:
Title:
E-Mail Address:
What is your role in planning this event?:
Address
City:
State:
Zip:
Day Phone:
Evening Phone:
Fax Number:
Mobile Phone:
Requested Date and Time:
Type of speaking event:
Group to be spoken to:
Length of Presentation:
Number of people:
What is your speaker budget at this event?
Other Expenses - Most speakers will also require travel, hotel, meals, etc. Do you have budget for these expenses?
Comment on budget
Identify the topic which most meet your need:
Other Topic:
How would you like us to respond? (phone call, fax or e-mail)
Comments, questions or notes
  

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