Santa Clara Valley Beekeepers Guild Speaker Request Form
Thank you for contacting the Santa Clara Valley Beekeepers Guild's Educational Outreach
and Speakers Bureau.

Please provide contact information and answer the questions below so we can plan for your event.

After receiving this information, a speaker coordinator will contact you to make final arrangements.

Please note that we require a 3 week advance notice for any speaker request.

Email address *
First and Last Name *
Your answer
Name of Organization or School *
Your answer
Phone number
Your answer
What is the proposed date of your event? *
MM
/
DD
/
YYYY
What time is your event? *
Time
:
How long will the speaker be presenting? *
Address *
Your answer
Is this request for a school? *
If so, what age/grade are the students?
Your answer
How many students?
Your answer
Is this for an organization, corporation, agency or a youth service group?
Your answer
How many people will be attending?
Your answer
What format is appropriate
Do you have audio/video equipment available?
Can the speaker offer honey for sale?
Is there an honoraria?
Click the blue SUBMIT button and you're done!
Thanks for contacting the Santa Clara Valley Beekeepers Guild!
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