Tuskegee Airmen Inc., William "Bill" Campbell Chapter

Request for Speaking Engagement

Please print the form and mail to:

TAI, William "Bill" Campbell Chapter
P.O. BOX 8814
Emeryville, CA 94662-0814

 

Name of person making request: First:
Last:
Name of organization making request:
Requester's office phone:
Requester's office fax:
Organization's mailing address:
Address Presentation to take place:
Number of people in attendance:
Age group of people at presentation:
Date of presentation:
Start time:
Will honorarium be donated?:

Message: