Application Form
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Confirmation of interest


I wish to confirm my interest to be included in the active roster of the speakers for the EBA Speakers' Bureau. I authorize EBA Speakers' Bureau to include my profile and photo in their website and other forms of media announcements relative to the EBA Speakers' Bureau.

I understand that a more detailed agreement will be formulated as and when a request will be formulated as and when a request will be formally lodged for my services. My normal fees and requirements will be taken into account.



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