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Speaker/Program Form
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Please fill out ALL the information below so we can have an accurate description of the upcoming presentation or workshop.

 

Date of Presentation:
Time:
Location:
City:
State/Province: Zip:

Speaker Name:

Title of Presentation:
Description of Presentation:
Speaker Bio & Credentials:


Cost & Lunch or Dinner info:

Speaker's Website:
Any additional Information:
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Also send via email a Headshot of the speaker, any support photos or flyers, and any sponsor logos to: judi@palimorstudios.com

 



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