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Survivor Speaker Request Form

We are having our first annual Charity Bachelor Auction & Gala at the Hartford Marriott ballroom on May 2, 2015. The net proceeds of this event are to benefit the American Cancer Society, specifically the More Birthdays campaign. We have found that bachelor charity events have done really well in the southern states, so we thought we would make this our annual signature event here in Connecticut.

We know you have a story about your courageous battle with cancer, and from where I am standing… you are Winning! Members of the steering committee planning this event would like you to share your story with the members of this committee to be considered as the guest speaker for the night. Your strength and candor would set the tone perfectly to kick off the bidding. We expect an attendance of about 350.

Please complete the form below.

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Congratulations on your determination to beat cancer! Your information has been submitted successfully. A member of the steering committee will contact you shortlyl

Thank you for your interest in becoming a vendor. A member of the Exquisite Events by Meeka team will contact you after submission of this form.