USJFCOM Speaker Request

Organization/Sponsor:
Event Information
Event:		Audience:
Event Start Date:		Event Start Time:
Event City:		Event State:
Media Invited: No Yes
Contact Information
POC	Email Address:	Phone Number:
Street Address:		Fax Number:
City:	State:	Zip Code:
What the group is looking for in a speaker: (please be as specific as possible, i.e Topic, Flag/General Officer etc)