Speaking Engagement Request

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Please fill out the form below to request a member of the Permian Strategic Partnership leadership team to attend a conference, panel or other speaking engagement. You will hear from a member of our team shortly after submission.

Email
*

Name of Organization
*

Name of Event
*

Event Date
*

YYYY

Event Time
*

Time

Event Location
*

Summary of Event
*

Topic(s) Speaker Can Expect to Address
*

Will there be other speakers? Please provide additional names if applicable.
*

Expected Audience Size and Makeup
*

Will questions be taken from the audience?
*

Yes

Will elected officials be in attendance? If so, please provide names and titles.
*

Will the event be recorded?
*

Yes

Sample Question(s) for Speaker

Your answer

Contact Information
*

Submit

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