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Speakers Bureau Report


To help us anticipate the needs of our speakers and audiences, we hope to gather the following information as a brief summary of your experience as a presenter for the ACLU of Oregon Speaker Bureau.

Please provide the following information:

Date of event
Name of Organization
Contact Name
Contact Phone
Contact Address

Subjects Covered
Age/Type of Audience
Length of Presentation
Number in Audience
Handouts given

Speaker Name(s)
Speaker E-mail
Speaker Phone

Revised: September 05, 2005