RITA SPEAKER REQUEST FORM
Please complete this form to request a RITA speaker for an upcoming event.  We will do our best to honor your request; however, there are times when our resources are limited.  You will be notified within 5 business days of your submission.  
 

Name of Organization

 

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Contact Name

 

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Email Address

 

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Contact Telephone Number

 

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Date of Meeting 

 

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Time of Meeting

 

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Location of Meeting

 

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Anticipated Number of Attendees

 

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Topic of Interest

 

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Amount of Time for Presentation

 

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Additional Information

 

350 characters left.