Stonewall Speakers - Engagement Request Form

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Connecticut Stonewall Speakers is a non-profit 501(c)3 organization comprised solely of volunteers. We request an engagement fee of $350 for our panel presentation to Colleges and Universities. Engagement fee for organizations, businesses is on a sliding scale. Request a price quote as a question. If you have the funds to afford more than the minimum, your kindness in doing so is deeply appreciated. Any monetary contribution toward our expenses, however small the amount, is gratefully accepted.

Please make out checks to: CT Stonewall Foundation, Inc., and mail to: 121 Shield Street, PO Box 331091, West Hartford, CT 06133

Email *

Phone Number *

Contact First Name *

Contact Last Name *

Name of School or Organization *

Address of School or Organization *

Type of Engagement Requested *

In-Person

Zoom

Dates Requested *

Times Requested *

Class/Subject Area or Audience Type *

Estimated Number of Students or Audience Members *

Parking Information/Directions (if applicable)

Speaker Preference

If you have a preference for how speakers identify (Gay, Lesbian, Bisexual / Pansexual / Queer, Transgender, Ally, Asexual, Intersex) please let us know and we will do our best to accommodate

Questions?

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