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1
Name of Person Requesting Speaker
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First Name
Last Name
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2
Email
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3
Phone Number
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Area Code
Phone Number
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4
Group Name
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5
Number of People Expected to Attend
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6
Event Date
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Date
Month
Day
Year
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7
Event Time
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Hour
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50
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10
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30
40
50
Minutes
AM
PM
AM
AM
PM
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8
Please select one topic.
*
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Best Kept Secrets
Emerging Technology Trends
Library Ebooks and Movies
Online Learning with the Library
Using the Digital Library
What's happening at the library
Other (You will be contacted for more information.)
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9
Presentation Format
*
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In-Person
Zoom
Recorded Webinar
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10
Location of In-Person Event
*
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Please list the address if the event is in person.
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11
Additional Notes
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