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President Speech Or Appearance Request Form


CONTACT INFORMATION
   
*Organization Name: Please enter department name.
*Contact First Name: First name is required.
*Contact Last Name: Last name is required.
*Contact Email: Please enter email.Invalid format.
*Contact Phone: Please enter phone number.Invalid format.


EVENT INFORMATION
   
*Event Name and Description: Enter description and shot list.Exceeded maximum number of characters.Minimum number of characters not met.
*Event Location/Address: Enter description and shot list.Exceeded maximum number of characters.Minimum number of characters not met.
*Event Date: Please enter event date.
*Event Start Time: Enter start time.
*Event End Time: Enter end time.
*Estimated Attendance: Enter expected number of attendees.
 

*What should the president wear?
Please make a selection.

*Is there a meal at this event?
Please make a selection.
If so, will guests eat during the president's presentation Yes

*Describe speech setup:
Enter description and shot list.Exceeded maximum number of characters.Minimum number of characters not met.

List any VIP's in attendance (public figures, elected officials university administrators, etc.):
 

* How long will the president speak? A value is required.
* Remarks start time? A value is required.
 

* Any special recognition?
Please make a selection.

Please make a selection.
If so, who should the president recognize? Contact name is required.
   

   
* What type of speech(keynote, brief remarks, ets)? Enter type of speech.
   

   
* President will be introduced by?
Enter person to introduce the president.
   
 
* Will you need biographical introduction and/or the president's official photograph?
Please make a selection.
   

* Any theme or key message the president should include in the speech?
Please make a selection.
If so, what kind?
   

   
* Is this a public event?
Please make a selection.
   

   
* Will media be at the event?
Please make a selection.
If so, what kind of media?
   

   
* Will there be additional speakers?
Please make a selection.
If so, whom?
   

   
* Will there be any question and answer session?
Please make a selection.
   

* Has the president ever spoken at any of your past events?
Please make a selection.
If so, when?
   

   
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