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Lucy Santos Green Professional Request Form
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Email
*
Your email
Your organization
*
Your answer
Your name
*
Your answer
Phone number
*
Your answer
Name of event
*
Your answer
Theme or focus of event
*
Your answer
Scheduling (dates/times)
*
Your answer
Type of presentation (keynote, panel, workshop etc.), consulting work, or grant project role requested.
*
Your answer
Expected number of attendees
*
Your answer
Event location and address
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Your answer
Will an honorarium be provided?
(A fee schedule will be provided upon receipt of this form)
*
Yes
No
Will travel expenses be reimbursed?
*
Yes
No
Virtual event - not applicable
Further details
Your answer
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