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Amelia Winger-Bearskin's Request Form
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* Indicates required question
Your name and organization/affiliation
*
Your answer
Email address
*
Your answer
Type
*
Talk or Panel
Gallery or Museum Show
Media Appearance
Keynote
Jury or award
Academic request
Interview or press quote
Phone Call /// Catch-up
Other:
Required
Summary of the opportunity, request or booking
Your answer
Location? (please let us know if this is remote or where this will take place in person)
Your answer
Date you need to hear from us by?
MM
/
DD
/
YYYY
Date of event?
MM
/
DD
/
YYYY
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