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Requests must be submitted via fax or email at least 30 days prior to the event date.
An on-site contact is required for the speaker, providing a point of contact during the event.
The form includes options for requesting a biography, photo of the speaker, and hospital logo.
There is an option to request complimentary 'goody' bags from the hospital for attendees.
The form asks whether the venue has audio/visual capabilities necessary for the event.
The form requests information about the expected attendance for better planning.