Change-makers Speakers Bureau: Interest Form
Thank you for your interest in booking an event with the Change-makers Speakers Bureau! Please allow us 24-72 hours to respond to this form.

Please Note: We humbly ask that if you'd like to host an event with our speakers that you plan it at least 4 weeks in advance in order to give us an opportunity to reach out to our alumni and find the right fit for your organization and event needs!

Organization
Your answer
Contact Name
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Email
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Phone
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Type of Organization
Which topic are you interested in hosting?
When would this event be?
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DD
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YYYY
What time would this event be?
Time
:
What is the estimated size of your audience?
Are there any notes, you'd like to add?
Your answer
Thank you again for your interest
We will respond to you within 24-72 hours and thank you again for your interest in hosting an event with the NewGround Alumni Speaker's Bureau.
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