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Speakers Bureau
Speaking Opportunity Form

Organization/Group Name			Location
Date of Event	Starting Time	Length of Speech
Contact(s):
• Phone Number
• Fax Number
• Email Address
Projection Screen Available?		�� Yes		�� No
Parking Information:
Driving Directions
Any special topics requested, type and # of attendees: (eg, retirees, executives, bankers)

Please print form and mail or fax, or copy and email form to Alice Hohl.

Four easy ways to contact Alice Hohl: US Mail: 966 East Main Street Columbus, Ohio 43205 Email: Alice.Hohl@use.salvationarmy.org Phone: (614) 437-2138 Fax: (614) 437-2139

The Salvation Army serves people in need without discrimination. By putting money to maximum use, The Army provides services, programs and ministries that produce measurable, life-enhancing results.