Requests

* First Name:

* Last Name:

Organization Name

Organization Website

* Organization City

* Organization State
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* Organization ZIP

* Email Address

* Phone Number

Position or Job Title

* Nature of the Appearance requested
Attend FunctionDeliver SpeechConduct InterviewOther

Name of Event/Activity

Event Location

* Date appearance is requested

* Please describe what you would like the President to do in connection with your event. Please be specific:

* Please describe the audience(s) the president would be engaging:

How will the President's expenses be covered?

* Deadline to confirm appearance:

Best days/times to contact you:

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