WE NEED YOUR EXPERTISE FOR “TODAY’S RESPONSE”



Name:




Rank:



Department:



Office phone:                 E-mail: 	


Cell phone (if we can give it to media): 


Your specific area (s) of expertise/work experience:










*Would you be interested in being listed in our Speakers Bureau? 

YES [ ]

NO  [ ]

Please mail to Tom Tozer, CAB 209—or fax 5714—or email: ttozer@mtsu.edu. 
Thank you.