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* 1. Please share your name and location:

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* 2. Please add your contact information:

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* 3. Please provide the information for the Event or Organization interested.

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* 4. Please share any details that would be helpful for our team to learn more about your request. (Event Details, Anticipated Attendance, Type of Audience, Speaking Time Allotment, etc.)

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* 5. Please select which planning phase best applies to your request:

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* 6. Please provide any additional details or notes regarding the host location, including any specific date requests and other pertinent information.

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* 7. Which author(s) are you requesting to speak?

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* 8. Which best describes your event type?

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* 9. Have you previously hosted any event affiliated with the authors or the organizations they represent?

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* 10. If yes to the above, please share any previous, affiliated event(s) you have hosted.

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* 11. Please note any additional information you'd like to share with our team.

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