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!

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