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ACLU of Tennessee

AMERICAN CIVIL LIBERTIES UNION OF TENNESSEE GUEST SPEAKER REQUEST FORM

To request a guest speaker from the ACLU of Tennessee, please complete the form below. Please make requests at least one month in advance. We try to honor requests for speakers, but sometimes schedules don't permit us to accept every event invitation.

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Date of Request: *

REQUESTER CONTACT INFORMATION

First Name: *

Last Name: *

E-mail: *

Phone Number *

EVENT DETAILS

Topic: *

Sponsor Group Name: *

Sponsor Group Description: *

EVENT DATE

First choice: *

Month

Day

Year

Time: *

Hour

:

Minute

am

pm

Second choice:

Month

Day

Year

Time:

Hour

:

Minute

am

pm

Third choice:

Month

Day

Year

Time:

Hour

:

Minute

am

pm

Event Format

Event Format: *

Presentation

Q & A

Panel Discussion

Debate

Other

Virtual or In-Person

Virtual

In-Person

If in-person, please provide the event location: *

Length of ACLU-TN Speaker Remarks: *

Describe Audience: *

(Please include the estimated audience size.)

Open to Public? *

Yes

No

Is Attendance Free? *

(If members of the public will have to purchase a ticket to attend the event, please list the cost per ticket.)

Additional Comments:

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ACLU of Tennessee

P. O. Box 120160

Nashville, TN 37212
United States
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