Dayenu Speaker Request Form
Thanks for your interest in a speaker from Dayenu. Please complete this short form to tell us more about your event.
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Name *
Email Address *
Name and brief description of the event *
Date and Time *
Is this date and time flexible? *
Please list the host organization(s) and any co-sponsors. *
Where are you located? *
Who is your anticipated audience (size, age, demographics, etc.)? *
What would you like the speaker to focus on? *
What type of presentation (keynote, panel, etc.) and desired length of time? *
If applicable, please list any other speakers or panelists.
Is there an honorarium for the speaker? *
Is there anything else you'd like to share?
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