Request a TAKE ON HATE Speaker/Representative
Please fill out this form to request a TAKE ON HATE representative at your event! Requests should be submitted at least two weeks in advance.
Date of Event
Time of Event
Do you require a speaker?
What is the goal of the event?
Please list any partner organizations.
Please provide additional details related to your request.
*Please submit a new response for any additional requests.
A copy of your responses will be emailed to the address you provided.
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