PA 2-1-1 Southwest Presentation Request
If you would like to schedule a presentation in your county about 2-1-1, including how and why it is effective, please complete this form to request a speaker at events for your staff, board, non-profit/for-profit agency, community, or legislators.  Presentations are FREE, but we try to efficiently serve as many as possible and a typical presentation is designed for a minimum of 20 participants.  Advance notice of at least two weeks is requested, but we will do our best to accommodate all requests received.  

If you need 2-1-1 supplies (flyers, business cards, etc.), please complete the supply request form here:  http://pa211sw.org/media-library/request-materials/ 

If you have any questions while completing this form, please contact info@pa211sw.org

Thank you for including 2-1-1 at your event!
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Email *
Requesting Agency Name *
Contact Name *
Contact Phone *
Contact Email *
Name of the Event *
Location of Presentation (Street Address, City, State, Zip) *
 County *
Date of Presentation *
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DD
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YYYY
Start Time *
Time
:
End Time *
Time
:
Type of Presentation (Choose all that Apply) *
Required
Equipment Available On Site for Presentation
Purpose of Presentation *
Estimated Number of Attendees *
Logistical Information (Please include parking information, building access, floor, person onsite to assist presenter, etc.)
Audience to Receive Presentation
If none of the above, please specify audience.
Please add any additional information that would be helpful for the presenter.
A copy of your responses will be emailed to the address you provided.
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