Launch Recite Me assistive technology

Speaking Engagement Form

Group Information

Name of Group

Name of Event

Audience

Tell us about your group.

Group Size

Number of attendees

Speech Details

Date

Time-Hour

Time-Minute

AM/PM

Duration of Speech

Purpose

This will help us personalize the speech for your group.

Location

Please be specific and list what venue or hotel, as well as what room the speech will be held in.

Your Contact Information

First Name

Last Name

Contact Phone

Contact Email

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