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Speaker Request Form

Questions? Call (248) 426-2300
  • Meeting Specifics

  • The honorarium check should be made out to Pam Perry
  • Overnight Accommodations

  • Logistics

  • Expenses (Meetings less than 200 miles)

  • Expenses (Meetings more than 200 miles)

    (Air travel arrangements will be made by Pam Perry PR unless agreed otherwise)
  • Please enter name above
  • Person Completing Form

  • Note:

    After we have sent you a letter confirming all arrangements, a cancellation fee of 25% of the honorarium will be assessed on the party who cancels the engagement. The canceling party will also be responsible for any non-refundable airfare/travel costs or misc. expenses.

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