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* 1. Please provide us with your contact information.

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* 2. Preferred Date of Your Event

Date / Time

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* 3. Please provide an alternate date in case your preferred date is not available.

Date / Time

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* 4. Preferred Start Time of Event

Date / Time

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* 5. Preferred End Time of Event

Date / Time

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* 6. Presentation Type

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* 7. If you have chosen a series of presentations, how many presentations would you like?

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* 8. If you have chosen a presentation or a series of presentations, how long would you like each presentation to be?

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* 9. If you have chosen a presentation or series of presentations, what is the approximate number of people per presentation?

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* 10. If you have chosen a display, how many people will be at your event?

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* 11. Approximate Age/Grade of Audience

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* 12. Why would you like us to visit your event? Do you have a particular theme for your event or area of study for your classroom?

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* 13. Please describe the site, and provide location details. Please include parking arrangements and any information about the site you deem pertinent.

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* 14. Special requests/additional information

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