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Book a speaker

Book a speaker form

Name*
Email*
Phone Number*

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Company
Date of the event*

MM		/
DD		/
YYYY
Time of the event*

HH		:
MM
AM/PM
Focus of the event*
Age*
 Pre-School 
 Elementary School 
 Middle School 
 High School 
 College 
 Others: (Please specify below) 
Who would you like to book as a speaker to your
event?*
 Mary Anne Piacentini - KPC Executive Director 
 Jaime Gonzalez - KPC Community Education Manager 
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3015 Richmond Avenue, Suite 230 Houston, TX 77098-3114 713.523.6135 Fax: 713.523.6145 info@katyprairie.org
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