Speaker Request
Please give at least 60 days' notice for events outside of the Washington DC area and 30 days' notice for events inside the Washington, DC area.
Your Contact Information
First Name *
Your answer
Last Name *
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Email *
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Phone *
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Event Information
Select a Choice
Who would you like to speak at the event? (Note: speaker fees will apply.) *
Event Name *
Your answer
Organization Hosting the Event
Your answer
Event Location/Address *
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Event Date *
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Event Time *
Time you would like the speaker to begin and finish
Your answer
Brief Description of the Event *
Your answer
Estimated Attendance *
Your answer
Brief Description of the Audience *
Your answer
Briefly describe how you plan to further engage the issue of domestic sex trafficking *
Your answer
I am able to cover travel expenses of the speaker (and a support person if necessary). (Note: For out-of-state requests, travel expenses or equivalent fundraising is required.) *
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