Guest Lecture Request
Thank you for choosing AAC & Me, LLC to support your AAC needs! 

Please complete this Guest Lecture request form if you are interested in a representative from AAC & Me to attend your event, conference, etc. to make a talk on AAC! Please provide us with more information regarding your event and a representative will reach out to you shortly.
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Email *
District/Group/Agency Requesting Service *
Referring Individual's Information
Please answer these questions about yourself, as the individual requesting the service.
Name of Individual Submitting Request  *
Your Role Within Your District/Group/Agency   *
Contact Email *
Contact Phone Number
Event Information
Please respond with information regarding your anticipated event.
Anticipated Location of Event *
Anticipated Date (if applicable)
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DD
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YYYY
Target Audience (check all that apply) *
Required
Approximately how long of a presentation would your event require AAC & Me to prepare? *
Please tell us a little bit about your event. Please share with us any specific topics of interest you would like a representative from AAC & Me to discuss. *
A copy of your responses will be emailed to the address you provided.
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