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Executive speech request form
1. Executive Speech Request Form
Event Date and time
Point of Contact Remarks due
Contact
Event location
information
Type, length of
remarks
Describe the event including place of remarks in the flow of events (speaking first, speaking last, etc.):
POC for additional details:
Describe the audience (age, rank, type, knowledge of the subject, etc.):
What is the most important thing for the audience to hear?
Additional details:
Requested themes and messages: