CEMA Outreach Presentation Request Form
1. To request a presentation from CEMA for your organization, please fill out the form below.
2. ATTENTION! If you need confirmation before three (3) business days, please complete this form and call the office at 912-201-4500.
3. If you need to cancel your request, please do so within 24 h of the requested date.

Sign in to Google to save your progress. Learn more
Email *
Disclaimer
 If you are requesting a presentation outside of regular business hours, after 5 PM or during the weekends, there must be at least 10 confirmed participants.
Organization Name *
Point of Contact: First Name and Last Name *
Will above point of contact be on site? *
If you selected no, please list who will be available. If you selected yes, please select not applicable *
Phone Number
Email Address
Event Address: street address, zip code, suite number etc. *
Is onsite parking available? *
Date and time of presentation request *
Weekend and evening requests must have at least 10 confirmed participants.
MM
/
DD
/
YYYY
Time
:
Presentation Topics *
Required
Presentation Length *
Number of Attendees *
Weekend and evening requests must have at least 10 confirmed attendees.
Audience *
Required
What media/AV equipment will your venue provide? *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms