If you want to get a speaker, please fill out this form and send it to the address below. Or call us at (508) 879-0777.

Sponsoring group(s) ____________________________________

Date(s) ________________________________________________
     Note a preferred date and any alternatives

Location _______________________________________________
     City or town and state

Topic of talk ____________________________________________

Would travel expenses be paid? [   ]Yes [   ] No

In addition, would an honorarium be available? [   ] Yes [   ] No

Contact person

  Name ___________________________________________________

  Telephone________________________________________________
                               Day                                   Evening

  Town____________________________________State____________

SEARCH for Justice and Equality in Palestine/Israel
P.O. Box 3452, Framingham, MA 01705-3452
Phone: (508) 879-0777 FAX: (508) 877-2611
Email: info@searchforjustice.org

SEARCH is a 501(c)3 organization. Contributions are tax deductible.

Copyright © 2005 SEARCH for Justice and Equality in Palestine/Israel