Availability Request Form

[ Download pdf version ]



Name of Event:




Sponsoring Organization:




Contact Person:







Work phone/tty:



FAX number:



Cell/alternate number:



Title of presentation requested
(or topic you would like addressed):




Date of presentation (if known):




Audience make up
(i.e. parents/professionals/
dhh adults etc):




Approximate numbers of participants:






Copyright: Hands & Voices retains all ownership rights to presentation material. Presentation material may not be photocopied, distributed, customized, , displayed, or transmitted, in any form or by any means, electronic or mechanical, or any other use by Client or its associates, without the express written consent of Hands & Voices

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