SPEAKER EQUIPMENT REQUEST
FULL NAME (AS IT APPEARS ON YOUR ID)
EMAIL ADDRESS
FULL ADDRESS
CITY
STATE
ZIP CODE
PHONE NUMBER
CELL PHONE NUMBER
EMERGENCY CONTACT
REQUESTING THE FOLLOWING SPECIAL EQUIPMENT FOR MY DEMONSTRATION LECTURE
AUDIO VISUAL Lavaliere/MicrophonePower Point PresentationAudio CassetteCD PlayerLaptop
SPA EQUIPMENT Massage TableHot Towel CabinetAdjustable Bowl / PitcherMagnifying Lamp on StandFacial ChairWorking Side TableSteamerTrolleyRobes and TowelsStool
MODEL I will bring my own model
PLEASE PROVIDE MODEL
OTHER REQUIREMENTS OR REQUEST
