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Thank you for requesting a pro-life. Please allow a minimum of eight weeks between submission of this form and your event so that suitable arrangements can be made. To be certain that we have sufficient information to make scheduling decisions, please fill out this form completely. When you have finished, Submit it to our office.

After your request has been received, our Speaker Coordinator, will contact you with speaker information and details such as honorariums and expense coverage.

If you have any questions please call 213-382-2156.

Please complete all sections before clicking the "continue" button. (NA if not applicable). Thank you.

Organizational Information:

Event Information:

Additional Information:

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International Life Services
2606 1/2 W. 8th St., Los Angeles, CA 90057