ATVP Presentation Request Form
Thank you for your interest in having an ATVP advocate present to your group! We ask that you complete this form at least 2 weeks prior to your requested presentation date. Upon completion of this form, an ATVP staff member will follow up with you via phone and email.

Please note that completion of this form does not guarantee you a presentation.

Please contact ATVP with any questions or concerns:
(509) 332-0552
(208) 882-2490
home@atvp.org

Group Name: *
Your answer
Your name: *
Your answer
Contact phone number: *
Your answer
Contact email: *
Your answer
Requested presentation topic: *
Your answer
Date of presentation (1st choice) *
MM
/
DD
/
YYYY
Time of presentation (1st choice) *
Time
:
Date of presentation (2nd choice) -- this is in the case that your first choice is not available. *
MM
/
DD
/
YYYY
Time of presentation (2nd choice) *
Time
:
Length of presentation: *
Required
Location/Address of presentation space: *
Your answer
Estimated number of participants: *
Your answer
Thank you for your submission!
An ATVP advocate will be in touch with you within the next 2 business days. Please contact us if you have not heard from someone.
(509) 332-0552
(208) 882-2490
home@atvp.org
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