Speaker's Cash Request Form

This form should be used by a speaker after presentation to request payment for event.

An in-kind (non-cash) match of $225.00 for your time and miscellaneous expenses is automatically assumed. This match fulfills KH/NEH program requirements. 
Receipts for amounts over $5.00 required. You may mail the receipts in or scan and email to 
Please describe audience. Was it old or young, male or female, caucasian or African-American, etc.