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Speaker's Request Form

Thank you for your interest in having Hiram E. Jackson speak at your event.  In order to help to facilitate your request, please complete and submit the following form at least one month prior to the event, and allow 3 - 5 business days for decisions to be made.

If you have any questions or need help completing the Speaker Request Form, pleas call Real Times Media at 313-963-5522, or email

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