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CONTACT

p: (832) 661-8131

a: P. O. Box 450559 - Houston, TX 77245

e: Tabitha@TSRworks.com

 

SPEAKER REQUEST FORM

Would you like to request Tabitha S. Rose-Davis to attend or speak at your event? Then please fill out the form and someone will contact you within 2 business days.

Your Name *
Email
Phone *

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Organization/Company Name *
Event Name
Event Date

MM 		/
DD 		/
YYYY
Describe Event
Please include the theme, purpose and target audience.
Event Location

Street Address

Address Line 2

City
State

Postal / Zip Code 		 
Requested Services *
 Public Speaking 
 Book Signing 
 Vendor Table 
 Other 
 
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