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School desiring a Presentation Form
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School Name
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Contact at school:
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Prefix
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First Name
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Middle Name
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Last Name
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Work title
*
School Address
*
School Phone
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Alternate Phone
*
School Fax
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Contact email
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Best way to reach contact
*
Presentation for what grade(s)
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About how many students will be in the audience
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Availability to present:
Month(s)
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Day(s) of Week
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Time(s) of day
*
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