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Motorcycle Awareness Seminar Request Form

Your E-Mail Address: Your Name:

Day Time Telephone: Evening Telephone:

Name of your school or organization:

Address where seminar is to be held:

What is your affiliation with this school or organization?

When is the best time for the seminar to be presented?

How many people will attend the motorcycle awareness seminar?

What is the average age of the people attending?

Do you have a TV and VCR available for use?

Do you have an overhead projector & screen/wall available for use?

Have we presented a seminar at your school or organization before?

Comments & Questions:





Revision date: 3/1/2006