Office of the President
Speech/Appearance Request Form
This form has been designed to help coordinate speeches and appearances by the president of North Georgia. In order to best accommodate your request, please provide the information requested below.
Please submit this completed form two weeks prior to your event. Please direct scheduling questions to the Office of the President at 706.864.1993. Thank you for your cooperation.
*Required field
Event Name & Contact Information:
| *Name of Event: |
|
| *Contact Person: |
|
| *Alternate Contact: |
|
| *Office Phone: |
i.e. 555-555-5555 |
| *Cell Phone: |
i.e. 555-555-5555 |
| *E-mail: | i.e. name@domainname.com |
| Fax: | i.e. 555-555-5555 |
Event Information:
| *Description of event: |
|
| Sponsoring organization: |
|
| *Day, date, and time of event: |
Day of Week: Month: Day: Year: Time: |
| *Place: | |
| *Approximate length of event: |
Speech/Appearance Requirements:
*Are formal remarks requested? |