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Speakers Bureau

If you would like for a member of the Texsan Heart Hospital staff to speak to your organization, please fill out the Speakers Bureau form and fax it to 210-736-8400 or fill out the information below:
  

Requesting Organization  
Date & Time of Event  
Topic Preference  
Address of Speaking Engagement  
Telephone number of event location  
Contact person while at event:  
Approximate time allotted:  
Dress:  
Expected size of audience:  
Age Range:  
Will there be PowerPoint support/equipment available?
 
Will there be an audio visual screen available?
 
CONTACT INFORMATION - Please Return Form At Least 2 Weeks In Advance  
Date of contact:  
Request made by:  
Email Address:  
Role within the organization:  
Mailing address:  
Telephone number:  
Fax number:  
Comments:  

  
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