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Add me to the Clean Fairfax Speakers Bureau Speakers List!
Are you a subject matter expert on sustainability/environmental issues? Would you like to be added to our list of speakers? If so, please fill out this form. We would love to talk with you!
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Phone
Your answer
Organization
Your answer
Title
Your answer
What general topic areas could you speak about? (check all that apply)
Solid waste
Litter
Plastic Pollution
Recycling
Zero Waste
Composting
Advocacy
Legislation/Regulations
Sustainable Business Practices
Sustainable Living Practices
Ecological Gardening/Landscaping
Citizen Science
Nature/Wildlife
Other:
What specific topics could you speak about?
Your answer
What presentation format would you be available for?
*
In-person
Virtual
Either or Hybrid
If in-person, what geographical area could you cover? (check all that apply)
*
Fairfax County & Localities
Falls Church
City of Alexandria
Arlington County
Loudoun County
Prince William County
All DMV
All Virginia
Other:
Required
Do you have a minimum audience size?
*
Yes
No
If yes, what is minimum audience size?
Your answer
Do you need or want an honorarium?
*
Yes
No
If yes, how much?
Your answer
How long is your presentation? (minutes)
Your answer
How long for Q&A?
Your answer
Any special requirements? (equipment, room size, outdoor space, etc.)
Your answer
What is the minimum advance you need for scheduling?
Your answer
Any other information you would like to share?
Your answer
Send me a copy of my responses.
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