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Request Form - Speakers Bureau Of Hennepin County District Court - Minnesota

Request Form - Speakers Bureau Of Hennepin County District Court Form. This is a Minnesota form and can be used in General District Court Hennepin Local County .
 Fillable pdf Last Modified 3/3/2009
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Request form Speakers Bureau of Hennepin County District Court The judges and staff on the Speakers Bureau of Hennepin County District Court welcome the opportunity to give presentations to your organization at no charge on the topics listed below. Please complete and return this form at least 30 days before your event. If you have any questions, please call (612) 348-3327. Thank you for your interest. Arbitration / Settlement Conference Office Guardian ad Litem Administrative Hearing / Collections Office Housing Court Careers / Training Judgments Civil Filing Jury Office Community Court Juvenile Court Conciliation Court Law / Judicial Clerks Criminal / Traffic Court Probate / Mental Health Court Domestic Abuse Service Center Self Help Service Center Drug Court Suburban Courts Examiner of Titles Traffic Violations Bureau Family Court Other courts-related topics Topic: ________________________________________________________________ _ Please specify information desired: __________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Speaking date(s)_______________________________ Time(s): ___________________ Organization: __________________________________________________________ __ Address: _______________________________________________________________ _ ________________________________________________________________________ over, please (revised 11-7-02) <<<<<<<<<********>>>>>>>>>>>>> 2Contact person: _______________________________________________________ ___ Address where presentation will be given (if different from address above): __________ _______________________________________________________________________ Directions to presentation location: __________________________________ ________ _______________________________________________________________________ Telephone: ___________________________ Fax: ___________________________ __ E-mail address: _______________________ Date of request: _________________ ____ Size and profile of audience: _________________________________________ ______ _______________________________________________________________________ _______________________________________________________________________ General description of area / room for presentation: _____________________________ _______________________________________________________________________ _______________________________________________________________________ Audio / visual aids you could provide, if needed: Podium / microphone______________ Overhead projector / screen_____________ VCR and monitor_________________ Easel pads / markers___________________ Other___________________________________________________________________ Special instructions, if any: _________________________________________ _______ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ How did you learn about the Speakers Bureau? _________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please fax (612 / 348-2131) or send this formto Hennepin County District Court / Office of Legislative, Community and Media Relations, C-823 Government Center, 300 S. Sixth St., Minneapolis, MN 55487-0422. If you would like an electronic copy of this form, please e-mail ken.bergstrom@co.hennepin.mn.us (revised 11-7-02)
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