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Speaker Request

Not only is Randy is a candidate for , but he is a "Constitutional Lecturer!"  Randy is rapidly becoming a "sought-after" speaker.  If you would like to have Randy come and speak at your event, please fill out and submit the form below.

 

Randy is a dynamic and passionate speaker.  He engages and challenges audiences across this nation.  Now he doesn't consider himself to be a constitutional scholar, but a constitutional student.  There is no doubt that you will know more when you leave than when you came in and most likely you will be challenged to become a constitutional student as well.

 

Contact Information
* Organization Name:
* Point of Contact:
* Contact Phone No.:
Best time to call?:

Home Phone:
Cell Phone:
Work Phone:
Fax:
E-mail:

*  The above information is required.  If you'd like for Randy to contact you about inviting him to speak without having to fill in the rest of the information you can hit the [Submit] button now.

 

Otherwise, please fill in the rest of the information below to the best of your ability as this will greatly enhance Randy's ability to speak on the information you want to hear about.

Event Information
Description / Title:
Date: 
Time:

Location / Address:
Is this a regular or annual event? Yes No
If Yes, what is the average attendance?
If No, how many do you expect to attend?

Format?

(of the event)
Formal  Informal
Dinner

Panel Discussion

Seminar

Other:     (Please describe the format below.)
Will there be other speakers? :  Yes No
Will the media be invited?: Yes No

 

Speech Information
Speech Start Time?:
Length of Speech?:   (In Minutes)
Topic Preference?:

(Please describe any major themes or topics that you would like for Randy to speak on. )

 

Other Comments or Information

 

 

Expect a reply within the next 24 hours

 

© 2010 Patriots for Stufflebeam.  All rights reserved.

 Paid for by the Patriots for Stufflebeam Committee

John Brewster, Treasurer

 

P.O. Box 2910

East Peoria, IL 61611

 

A copy of our report filed with the Illinois State Board of Elections is (or will be) available for purchase from the State Board of Elections, Springfield, Illinois.

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