Mental Health Associaton of the Heartland
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Speakers Bureau: Request for Presentation

MHAH's Speaker's Bureau provides workshops, seminars and speaking presentations to business, social service, community and other groups. To request an MHAH program or speaker presentation, complete this form and click on "Submit" or call (913) 281-2221, ext 112 for additional information or questions..

Information in red is required.

Indicate the type of workshop or speaking presentation (check all that apply):
  
 
Date of the event:
Topic/area of interest:
 
Target audience:
 
Name:
Degree
Address:
City:
State:
Zip:
Phone:
Work Phone:
Fax:
Email :
Employer:
How did you hear about us?
Additional comments or questions:
 

    




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