University Speakers Bureau - Request Form
  


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Complete the following online form to request a speaker and topic for one of your upcoming engagements. Note that all fields (except Email Address) are required.

If you have any questions or problems using this form, contact the Office of News and Media Services at news@frostburg.edu or 301/687-3171.

Requested Speaker:  
Requested Topic:  
2nd Choice Speaker:  
2nd Choice Topic:  
3rd Choice Speaker:  
3rd Choice Topic:  
Date of Engagement:  
Time:  
Name of Sponsoring Organization:  
Length of Talk:
 
Meeting Place:  
Address:  
Expected Attendance:  
Contact Person:  
Address:  
Daytime Telephone Number:  
E-mail Address:   (Optional)
Your Name:  
Position in Sponsoring Organization:  
     

 

  
 
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