Speaking requests will be considered on a case-by-case basis. Member organizations will be given priority with our staff's very busy schedules. Once submitted, please allow 5 business days for a response.

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1. Your name (Required.)

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2. Your email (Required.)

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3. Organization name (Required.)

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4. Mission of organization (Required.)

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5. Event name and brief description (Required.)

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6. Event date and time (Required.)

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Time

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7. Event location (Required.)

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8. Who are you requesting to speak? (Required.)

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9. Exact time of speech and requested speech length (Required.)

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10. Desired speech topics (Required.)

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11. Audience size and profile (Required.)

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12. Will their be questions from the audience? (Required.)

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13. Will media be present? (Required.)

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