Devard -Speaking Engagement Request

Contact Name:

Contact Phone:

Contact Email Address:

Event Venue:

Venue Street Address:

City:
State:
Zip:

Date of Event:

Duration of Speech (Up to 30 minutes):

Additional Requests (check all that apply):
Photo OpportunityEarly Arrival (in excess of 30 minutes prior to time on stage)Late Departure (in excess of 30 minutes after time on stage)Autograph sessionAdditional time on stage (all presentations are up to 30 minutes unless otherwise discussed)Special Subject

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