Speaker Request Form

Submitted by dlfaison on Mon, 09/13/2021 - 16:23

Indicates required field

Program Date / Start Time

Name of Group or Organization Requesting Speaker

Location City

Location State

Presentation Format

Presentation Topic

Business Tax Essentials

Withholding Basics

Sales and Use Tax Basics

Other Presentation Topic…

Desired Length of Presentation

Number Expected to Attend:

Contact First Name

Contact Last Name

Email Address

Telephone Number

Telephone Extension

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