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Dedicated to increasing financial literacy in Cuyahoga County for all residents, utilizing all available resources.

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NEOCFS Request A Speaker

Base Class Registration FormAudience Size (minimum of 20):

Date and Time of Speech

Date:

First Preference

Time:

Second Preference

Date:Time:

Information About Your Organization

Organization Name:
Web address:

Contact Information

First Name:Last Name:
Phone:Email:
Fax:

Topics of Interest

First:
Second:
Third:

Event Information

Address:
City:State:
Zip Code:
Phone:
Directions from Downtown Cleveland:

Parking Arrangements:

Audience Type:
Business Association
Seniors Group
Civic Club (e.g. Rotary)
College/University Students
Church Group
Professional Organization

Speech

Type:
Keynote
Workshop
Lecture
Length:
30 minutes
45 minutes
1 hour
Q&A:
During Speech
After Speech
Q&A Length:
15 minutes
30 minutes
Panel Discussion:
Yes
No
Length of Panel Discussion:
30 minutes
45 minutes
1 hour
Moderator:
Yes
No
Media Coverage:
Yes
No

A/V Equipment Availability

Select one or more:
Laptop
Projector
Screen
Microphone
Podium

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Northeast Ohio Coalition for Financial Success
112 Hamilton Court, 4th Floor
Cleveland, OH 44114

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