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Speaker Application Form

Steps to apply as a speaker

1 - Fill out the form below
2 - Please send speaker portait and bio to kathycraginvhe@gmail.com
3 - Please send Organization Logo to kathycraginvhe@gmail.com

Select a Choice
Regular Workshop
Exhibitor Workshop

Presenter
* Title              

* Fisrst Name

* Last Name 

Suffix              

* Company Name  

* Company Address:
* Street    

* City        

* State/Province/ Region * zip code

* Email     

* Phone   

Cell          

Website  

Social Media Accounts (for promotional purposes)


Audio-Visual Wquipment needed


Title of Workshop

Workshop Description

Time Preference
Friday Afternoon
Friday Evening
Saturday Morning
Saturday Afternoon

Comment or question

 

Valley Home Educators
PO Box 578883
Modesto, CA 95357-8883

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