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Presentation Request Form

Please provide information for the following subjects regarding your presentation request. After submission, you will receive a confirmation from our office within the next 48 hours. Please send an e-mail directly to Heather Ver Brugge at if you receive an error message or do not receive a response within the next 48 hours.

Department Name:
Contact Name:
Contact Phone:
Contact email:
Presentation Type:
Date Requested for Presentation
Time Requested for Presentation:
Location of Presentation:
Audience Size: