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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:

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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: