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SPEECH/APPEARANCE REQUEST
President Robert O. Kelley
 

Complete and submit the form below to request a speech or appearance from President Robert O. Kelley.
To fill out a form that can be submitted via mail complete the Printable Form.

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Event Date Event Time
Name of Event
Sponsored/Hosted by
Point of contact for event Point of contact's phone #
Point of contact's email
Audience for event
Location of event Room
Location Address Location phone #
Expected attendance Open to public?
    Media Expected?
Are remarks requested? YES NO
Welcome remarks (3-5 minutes) Short remarks (5-10 minutes) Additional time for Q&A
Speech (15-20 minutes) Major address (20+ minutes) Other
Event MC Who introduces the President?
Will written invitations be issued? YES NO (If YES, please send a draft or sample)
Will there be a podium? YES No

Technology/AV Equipment (If yes, please list)

 YES No
Is the President expected to introduce anyone? YES No If YES, Who?
Will awards be presented? YES No Who will present the awards?
  To whom will they be presented?
Order of speakers
Other dignitaries attending the event
Issues important to your organization/suggested topics for the President to address
Additional Information
 
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