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Speaking Engagement & Meeting Request Form
Meeting or Speaking Request
Contact Person's Name
*
First
Last
Date of Meeting or Engagement
*
MM slash DD slash YYYY
Group's Website
Phone
Contact Person's Email
*
Enter Email
Confirm Email
Type of Group or Event
*
Meeting of Organization
Second Amendment Group or Club
Educational Class
Other
Topic
*
Confrontational Politics (Workshop)
Overall Political Update
Educational/Debate
Other
Is this a meeting request?
Yes
Provide Additional Information as Needed
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J.K. Benson
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