Your name:
Your address:
Your phone number:
Name of the organization sponsoring the talk:
Type of organization:
Address where talk will be presented:
Date of the talk: Time of the talk:
Title of talk (see previous page):
Length of time:
Do you wish an appraisal session? ___yes ___no.
Contract for the talk will be approved by:
please mail to the Bookstall PO Box 4037 Walnut Creek, Ca 94596
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