Astronaut Speakers Bureau and Astronaut Appearances

The SPACE Agency
3101 NASA Parkway
Suite L
Seabrook TX 77586
(281) 333-9500
info@thespaceagency.org

How to Book a Speaker

SPEAKER REQUEST FORM
Date of Appearance: (mm/dd/yyyy) Theme of Speech: Requested Speaker: Primary Event Title: Time of Event: AM PM Event Location: City: State:
AV Provided: 35mm Slides Powerpoint Presentation VHS Movie All of the above Intended Audience (briefly describe): Expected Audience Size: Speaker Budget: $5,000 - $7,500 $7,500 - $10,000 $10,000 - $15,000 $15,000 - $20,000 $20,000 - $100,000 Contact Information: REQUIRED Name: Title: Company Name: Address: City: State: Zip Code: Phone Number: Ext. Fax Number: Email Address:

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