Canada's Resource Cities Speakers Bureau
Please fill out the following form in order to indicate your interest in having a member of our Speaker's Bureau at your upcoming event.
What is the name of your Chamber of Commerce or Board of Trade?
Your answer
Please enter your name and email address.
Your answer
Please indicate the date and time of your event.
Your answer
Please indicate the venue where the event will take place.
Your answer
Please provide a brief description of your event.
Your answer
Please indicate the key talking points that you would like addressed.
Required
Please select the speaker(s) that you would like at your event.
Required
How many speakers do you require?
Please indicate the approximate length of the desired speech.
Hrs
:
Min
:
Sec
Please indicate the language requirements for the speech.
Will there be a Q&A session following the speech?
Please indicate the approximate number of attendees expected.
Will there be media present and if yes, which media outlets are expected?
Your answer
Additional Comments (Optional)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms