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Please fill out the form completely and submit at least 2 days before your scheduled appearance.

Today's Date

Date(s) of Appearance:

Purpose:


Brief description of what you plan to present/discuss:


Will graphics or video be needed for your presentation? Pease submitt to Joe  Luparello 24 hours in advance. Graphics and video can be attached to an email, a dvd can be put in his mailbox. VHS cannot be used.