Switch Event Request-Online Form
Your Name:
Your answer
Phone
Your answer
Email Address:
Your answer
Organization Name:
Your answer
Date(s) of Request?
Your answer
Time?
Your answer
Address of event location:
Your answer
Are you requesting a specific speaker? If so, who?
Note: We will do our best to honor your request but may not always be able to accommodate due to scheduling conflicts.
Your answer
How long would you like us to speak?
Your answer
If this is for an event, what type of event?
Your answer
How many people do you anticipate attending?
Your answer
How are you promoting this event?
Your answer
To insure our content is age appropriate, what is the age group of our audience?
What will be provided?
check all that apply
What would you like us to focus on?
check all that apply
Are you a faith-based organization?
Would you like us to bring our marketing items?
T-shirts, decals, bracelets, etc. (available with donations)
What type of donation, can you give?
We are a non-profit organization, we ask that some form of donations are made, if possible, during these events.
Any additional information?
Your answer
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