SPEAKERS INPUT FORM
MISSISSIPPI DIVISION
UNITED SONS OF CONFEDERATE VETERANS 
SPEAKERS BUREAU INFORMATION FORM

Your Name:

Email Address:
Camp Name/Location:
Distance willing to travel:
Date/Times available to speak:
Topic's discussed or demonstrated:
Equipment needed to put on speech/presentation/demonstration:
Special Considerations (i.e., handicapped accessible, etc.):
 

Will you speak for?
Select from options below

Free
Modest Expense
Gas
Opportunity to sell product
Donation to Mississippi or Beauvoir
Donation to one of your Camp's projects or funds
Accommodations, if traveling greater than 100 miles.