Yolanda Green

Speaking Request Form


Purpose of appearance:
Keynote Address
Motivational Speech
Emcee
Career Day
Other (explain below in comments/requests area)

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Day and date of event:

Audience description:

Anticipated attendance:

Requested speech length:

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Location:

Street Address:

Formal or informal setting:

Room setup (podium, wireless microphone, etc):

Additional comments/requests:

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E-mail address:

Phone number:



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