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Speaker's Engagemment Form

Name:

Title:

Organization:

Street Address:

Telephone Number:

Suite or Apt #:

Fax Number:

City:

Email Address:

State/Province:

Country:

Zip/Postal Code:

How did you hear about Sunny?

What kind of speaker are you looking for?

What is the requested date?

Who is the audience?

How many people will attend?

Location of the presentation?

Would you like a brochure?
yes
no

Would you like a book signing?
yes
no

When is the best time to call?