AARP Alabama Speakers Bureau FORM

By: Source: AARP.org Date Posted: 2005-05-17 13:40:50

Request for a Speaker

* Organization Requesting Speaker
* Name of Contact
* Contact ’ s Phone Number(s)
* Contact ’ s E-mail Address
Issue or Topic of Interest
* Date of Presentation
* Time
* Length of Presentation
Location/Directions
* Number of Attendees Expected
Names & Organizational Affiliations of Other Speakers
Facility & AV Equipment Available	Podium Easel Microphone VCR/TV Large Screen Projectors
Other Comments