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Contact Information:
Stephanie Franz
Government and Community Affairs Liaison
Cuyahoga Community College
216-987-3499

To request a speaker, complete the following information and click Submit when finished.
Fields marked * are required.


Organization Name *  
Address *  
City *  
State *  
Zip *  
Contact Name *  
Contact Phone Number *  
Contact Fax Number
Contact Email Address
Event
Date *  
Time of Event *    
Address *  
City *  
Nature of Engagement *  
First Choice * Second Choice
Speaker Requested
Topics *  

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