Speaking Request
Thank you for your interest in having a member of our team speak at your upcoming event. Please allow 24-48 hours for a response to your inquiry through this form. We look forward to working with you!
Is there a specific CRC team member you are requesting, or is this a general inquiry?
Name of Institution or Organization
Topic of Meeting or Event
Date
MM
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DD
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YYYY
Time
Time
:
Location of Meeting or Event (Street Address, City, State, Zip Code)
Agenda (Please provide a link if possible)
Attire
Setting ( i.e. is this a reception; will there be a podium):
Who will be introducing the speaker?
Length of Speech
Speaker Order (if others are speaking)
Estimated size of Audience/Description of Audience
Name of Event Coordinator
Event Coordinator's Telephone Number
Event Coordinator's Email Address
Organization's Website
Other Information
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