Speaker Request
Please complete with as many details as possible and a member of our team will follow up with you as soon as possible.
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Email *
Name *
Organization
Title
Date of event
Time of event
Location
Description of event or meeting
Who is the intended audience?  Do you know approx. how many people will attend?
Request
I understand there may be a fee* associated with this presentation and I have reviewed the costs on the website and am prepared to pay that fee. *Depending on the requested presentation, fees normally range from $150-$400. Please review fees here. *
Presentation topics/content requested
If an in-person event, your facility will provide:
Check all that apply
Date you need confirmation from us by
Please enter the date you would like for us to inform you whether we can or cannot fill this request (if sooner than four weeks prior to the event.)
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Any more details?
A copy of your responses will be emailed to the address you provided.
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