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Public Speech Activity Registration Form

Date(s) of Activity*
Time of activity:
Requested location of public speech activity*
Contact Person:*
Contact Phone Number(s):*
Contact e-mail:
Type of Public Speech Activity:*
Anticipated number of persons attending:
Audio equipment requested to be used:* Microphone/Amplifier
Loudspeaker
Bullhorn
Other
None
Other UCM departments involved or notified: