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Please complete and submit this form for more information about booking a Speakers Bureau program for your next business, civic or community group meeting.

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Group/Organization Name
*Last Name
 *First Name
*Street Address
*City
 *State    *Zip Code
  
*Phone Number - enter at least one number where you can be contacted between 8am and 4pm, Monday through Friday. Format: xxx-xxx-xxxx.
Home Phone   Work Phone   Cell Phone
*E-mail Address
*I am interested in: (select one or more programs)
And He Lived to Tell: The Incredible Story of Louie Zamperini
A Sense of the World
Book Bites
Choosing the Right Book for your Child
eBooks Made Easy
Every Child Ready to Read
First Mothers
Flags of our Fathers
Got Game?
Heroes and Characters of the Miami Valley
Hot Picks for Teens
Introduction to eBay™
Introduction to Genealogy
Intro to Online Social Networking
Norman Rockwell's America
Online Job Searching Strategies
Popular Picture Books
The Esther Price Story
The Life of Mary Todd Lincoln: Hellcat or Helpmate?
The Story of the U.S.S. Indianapolis
What's New In Kid Lit
Other
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*Start Time
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 *End Time
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*Location