Speaker Request Form Submitted by dlfaison on Mon, 09/13/2021 - 16:23 Indicates required field Program Date / Start Time Program Date / Start Time: Date Program Date / Start Time: Time Contact Name of Group or Organization Requesting Speaker Location City Location State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Presentation Format - Select -WebinarIn Person Presentation Topic Business Tax Essentials Withholding Basics Sales and Use Tax Basics Other Presentation Topic… Enter other… Presentation Topic Descriptions Desired Length of Presentation - Select -1 hours2 hours3 hours4 hours Number Expected to Attend: Contact First Name Contact Last Name Email Address Telephone Number Telephone Extension
