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Speaker Request Form
Name of Alliance Requesting Speaker
Date of meeting/event
Who would you like to address your Alliance?
State President AND Membership Chair
State President AND Health Chair
Any/All State Officers Available
Your Best Telephone Number, including Area Code
Your E-Mail Address (please double check for accuracy)
Which is the best form of contact
Thank you for contacting us. We will get back to you as soon as possible
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SMA Alliance Annual Meeting
Thursday Nov 2 - Saturday Nov 4
Capitol Screening Initiative
Thursday, Jan 18 at 9:00 AM - 12:00 PM
MSMAA Executive Board Meeting
Thursday, Jan 18 at 1:00 PM - 3:00 PM
Winter Board Meeting
Friday, Jan 19 at 9:00 AM - 12:00 PM