SPEAKERS

SPEAKERS

Are you interested in having someone who participated in the Freedom Summer 2004 Ride for Justice speak to your group?

The participants are a diverse group of individuals from all regions of the country, true to the spirit of the movement of the '60s. They include men and women; Black, White, Hispanic and other ethnic backgrounds; Christians, Jews, and Buddhists; students, workers, and veteran Civil Rights activists. And all want to share their experience on this historic event.

For additional information and availability, complete the form below:

FIRST NAME:		LAST NAME:
TITLE
ORG./COMPANY NAME
ADDRESS Line 1
ADDRESS Line 2
CITY		STATE ZIP:
DAY PHONE		EVENING PHONE:
EMAIL:		WEBSITE:
WHICH DATE(S) DO YOU WISH TO RESERVE?
FIRST CHOICE: SECOND CHOICE: THIRD CHOICE:
WHAT TOPIC(S) YOU LIKE THE SPEAKER TO DISCUSS? (Up to 200 characters)
PLEASE DESCRIBE THE INTENDED AUDIENCE (AGE, INTERESTS, ETC) (Up to 200 characters)
ADDITONAL COMMENTS?