Request To Present 
Email *
Todays Date *
MM
/
DD
/
YYYY
Presenters Name *
Name of Organization *
Address *
Phone Number. *
Subject of Presentation *
Please provide a brief description of the Presentation *
Length of Presentation, including 5 mins for questions (choose one) *
GHAC typically meets on the first Tuesday of every Month.  Please know that we will make every effort to include your presentation on your desired date, however it may be necessary to accommodate you on an alternative date. 
What is your desired date for your presentation?
*
Required
A written brief outlining the subject matter and intent of the presentation will be provided to the Chair at the time of the request. This brief may form part of the official record of the proceedings and therefore will be considered to be a public document.  
Please indicate your acknowledgement. 
*
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy