8/1/2013 Orange County, CA
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DA's Speakers Bureau
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DA's Speakers Bureau
DA's Speaker's Bureau Request Form
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DA's Speaker's Bureau Request Form
Please complete the form below to initiate your speaker's bureau request.
Please choose your topic(s) of concern*
Child Abuse
Consumer Fraud
Domestic Violence
Drugs and Narcotics
Elder Abuse
Environmental Protection
Gang Crime
Hate Crimes
Identity Theft
Juvenile Crime
Insurance Fraud(Auto, Medical)
Driving Under the Influence
Sexual Assualt
Works' Compensation Fraud
Other
Event Information
Please provide the following:
Sponsoring Organization:*
Type of Event:*
Date:*
Time:*
Request Length of
Presentation (30-45 minutes):*
Location:*
Other Details:
Contact Information
Please provide the following:
Name:*
Phone:*
Email: