Presentation Request
Thank you for your interest. Please complete the below form to request a presentation. A CARDV representative will contact to you make arrangements.
* Required
Your Name (first and last)
*
Your answer
Your phone and/or email address
*
Your answer
Name of group requesting presentation (if applicable):
Your answer
Contact person for group (if not you)
Your answer
Contact phone and/or email address for group (if not yours)
Your answer
What type of presentation are you requesting?
*
Presentation for Educators
Presentation for Students
Workplace or Professional Development presentation
Men's Coalition to End Violence (MCEV) presentation
Other / I'm not sure (Please complete "Tell us about your group" box below)
Tell us a little about the group requesting the presentation: What type of group (ie. high school students, service club, church group, employee group, etc)? How many people you anticipate? How long of a presentation? Do you have any dates already in mind? Anything else you think may be helpful. Thank you!
Your answer
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