Speaker Bureau Request
To request a speaker or presenter from Legal Aid please fill out the request form below.

Legal Aid strives to meet as many requests as possible, but is limited by available resources and staff. Please submit your requests at least four weeks in advance of your event.
Your Name *
Your Organization *
Primary Phone *
Please include your extension if any
Email address *
Presentation Location *
Please include full street address, city, and zip code.
Location Ammenities
Please indicate which if any of the following are available for use
Clear selection
Date & Time *
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DD
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YYYY
Time
:
Alternative Date & Time
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DD
/
YYYY
Time
:
Topic of Interest *
Audience Size *
Approximately how many people you expect to attend
Expected Audience
i.e. seniors, community watch group, religious group, social servcie agency staff
Comments
Please include any further information regarding your request or any special considerations.
Submit
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