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Speaking Request

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If you would like to invite Commissioner Bush to speak at your event, please complete and submit the form below.

All fields marked with a red * are required.

* Subject of Engagement:
* Location of Engagement:
* Time & Date of Engagement:
* Length of Commitment:
* Topic of Speech:
* Open Or Closed Media Event:
* Event Point of Contact (On Ground):
* Attire For Event:
* Expected Attendance:
Dignitaries Attending Event:
* Additional Information Regarding Engagement:
* Organization:
* Requester Name:
Requester Title:
* Organization Address:
* Email:
* Telephone Number: