Welcome to MHA of The Heartland

Speaker's Bureau: Request for Presentation
MHAH's Speaker's Bureau provides workshops, seminars and speaking presentations to business, social service, community and other groups.

Indicate the type of workshop or speaking presentation (check all that apply):
	Professional Continuing Education Community Education
Date of the event:

Topic/area of interest:

Target audience:


Name
Degree
Address
City
State
Zip
Phone
Fax
Email
Employer

How did you hear about us?

Comments/Questions

To request an MHAH program or speaker presentation, complete this form, print and mail or fax to

Mental Health America of the Heartland
Speaker's Bureau
739 Minnesota Ave
Kansas City, KS 66101

FAX: (913) 281-3977

MHAH. For additional information or questions, call (913) 281-2221.

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Welcome to MHA of The Heartland