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Request a Speaker
 

Complete the Request Form to request a speaker and topic for one of your upcoming engagements. Note that all fields (except Email Address) are required.

If you have any questions or problems using this form, contact the Office of News and Media Services at news@frostburg.edu or 301-687-3171.

 

Speakers Bureau Request Form

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Requested Speaker*
Requested Topic*
2nd Choice Speaker*
2nd Choice Topic*
3rd Choice Speaker*
3rd Choice Topic*
Date of Engagement
Time*
Name of Sponsoring Organization*
Length of Talk*
Meeting Place*
Address*
Expected Attendance*
Contact Person*
Contact Address*
Daytime Telephone Number*
E-mail Address
Your Name*
Position in Sponsoring Organization*