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Inside Advertising Speakers Program

Request For Visit

Name:
Title:
Department:
College/University:
Address:
City, State Zip:
Email:
Office Telephone #:
Fax #:
Home Telephone #:

Course Title #1:
Undergraduate Level   Graduate Level
Number of Students:
Start Time: End Time: Day(s) of Week:
Preferred Topics:
1. 2. 3.

Course Title #2:
Undergraduate Level   Graduate Level
Number of Students:
Start Time: End Time: Day(s) of Week:
Preferred Topics:
1. 2. 3.

Course Title #3:
Undergraduate Level   Graduate Level
Number of Students:
Start Time: End Time: Day(s) of Week:
Preferred Topics:
1. 2. 3.

Preferred Dates:

Fall/Winter Dates Spring/Summer Dates
We plan to submit dates but have not finalized our schedules
I do not plan to submit dates because:

How did you hear about the AEF Speakers Program?

Note: Program dates are typically confirmed 4-6 weeks in advance because of speakers’ schedules. If you require more notice, please contact us.

Contact: Caitlin Tucker at ct@aef.com or call (212) 986-8068

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