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NEALE DANIHER

Australian of the Year Alumni Appearance Request Form

This form is to request the presence of Australian of the Year - Neale Daniher for your next event.

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Organisation Contact Name
MM slash DD slash YYYY
What kind of event is this for?

What kind of event is this for?

The purpose of the proposed event:

What will the Alumni’s role be at the event?

Is virtual attendance (video message, Skype/Teams) possible?
Is a representative acceptable if the Alumni is not able to attend in person?
How big is the audience?

Are you able to cover flights, accommodation, and travel expenses? (if required)

How long would you like the Alumni to attend for?

Are you able to pay a speaker's fee if requested? Are you open to donating to the speaker's preferred charity in lieu if requested?

Any other comments

Is there anything else you’d like us to consider in reviewing this request?

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