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California State University, Fullerton

Classroom Presentation Request

Please read and complete each field carefully. If you have any question while completing this form, please contact us.

First name

Last name

Email address

Phone number

Course title

Preferred date
(e.g. 04/29/2011)

Preferred time
(e.g. 16:30)

Alternative date
(e.g. 04/29/2011)

Alternative time
(e.g. 16:30)

(e.g. UH-244)

Estimated number of attendee