This government document is issued by General Services for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:xg1tju_bfd4&q=https://www.dgs.pa.gov/Small%2520Diverse%2520Business%2520Program/Documents/BDISBO%2520Speaker%2520Request%2520Form.pdf&sa=U&ved=2ahUKEwju64elk-6FAxUTgP0HHaSPA_o4RhAWegQICBAB&usg=AOvVaw1JfiDibiWuSuMuiRn0FsCQ