Name
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First Name
Last Name
Phone
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(###)
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####
Email
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Working title of your presentation:
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Date and time of your presentation:
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Name of your program manager:
Short biography:
How would you like your name to appear in publicity materials?
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How would you like to be addressed during the presentation?
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Projector
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Display Items
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Pamphlets / Handouts
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Honorarium
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Can you suggest any organizations or individuals who may be able to assist us in publicizing your event?
Library Recording: Our programs are often offered in a hybrid model using Zoom Meetings. May we record your presentation for viewing by those who signed up for your presentation?
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Town Recording: It is sometimes the case that the Town of Brewster records our presentations. They will make the video available to the public on the Town's webiste.
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