Speaker Request for Jamecia Hall

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Thank you for your interest in having Coach J. Hall as a speaker at your event. In order to help us facilitate your
request, please complete and submit the following form (and any corresponding attachments)
at least 2 weeks prior to the event and allow 3-5 business days for decisions to be made.

Event Organizer/Details

Name of Business/Organization Submitting Request:

Event Sponsor(s)/Host(s):

For Profit/Not for Profit:

For Profit Event

Non-Profit Event

Clear selection

Coordinator/Point of Contact: (Name, title, email, office phone, cell phone)

Event Details

Event Name/Title:

Event Location

Event Date

YYYY

Event Time

Time

Event Purpose/Goal

Event Website (if applicable)

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